Tekin Güveli Betül, Gürses Candan, Özde Cem, Çağlar İlker Murat, Çabalar Murat, Kolukısa Mehmet, Yayla Vildan
Bakırkoy Research and Training Hospital for Psychiatry, Neurology, Neurosurgery, Department of Neurology Istanbul, Turkey
Istanbul University, Istanbul Faculty of Medicine, Department of Neurology, Istanbul, Turkey.
Clin EEG Neurosci. 2015 Jul;46(3):230-4. doi: 10.1177/1550059413518920. Epub 2014 Apr 17.
Differential diagnosis of epilepsy and syncope may be difficult. Arrhythmias such as asystole, or ventricular fibrillation, may lead to cerebral hypoperfusion mimicking partial or secondary generalized tonic-clonic seizures. While performing an electroencephalogram (EEG) for epilepsy diagnosis, simultaneous electrocardiogram (ECG) recording may detect cardiac pathology. In this article, through 2 cases, who had cardiac asystole during the EEG, we demonstrate the importance of ECG during EEG. To rule out cardiac pathology in syncope cases, all necessary investigations must be done.