Obi Mukosolu F, Cho Hyun Joon, Sharma Manjari, Noel Chelsea, Gargiulo Paul R, Vega Melissa M, Hlaing Win
Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, USA.
School of Medicine, St. George's University, True Blue, GRD.
Cureus. 2023 Jul 6;15(7):e41473. doi: 10.7759/cureus.41473. eCollection 2023 Jul.
We present a case involving an 87-year-old woman who had a hyperkalemic emergency. This condition was further complicated by complete heart block (CHB) and seizure-like activity. This case emphasizes the challenge of differentiating between seizures and convulsive syncope. Achieving an accurate diagnosis is essential for determining the appropriate medical treatment. This case report highlights the various symptoms and complications associated with hyperkalemia, emphasizing the importance of conducting a thorough examination to explore other potential causes. Additionally, it emphasizes the usefulness of the head-upright tilt test (HUTT) as a method to differentiate convulsive syncope from seizures, particularly in cases involving vagal stimulation.
我们报告了一例涉及一名87岁患有高钾血症急症女性的病例。该病情因完全性心脏传导阻滞（CHB）和癫痫样发作而进一步复杂化。该病例强调了区分癫痫发作和惊厥性晕厥的挑战。准确诊断对于确定适当的医疗治疗至关重要。本病例报告突出了与高钾血症相关的各种症状和并发症，强调了进行全面检查以探究其他潜在病因的重要性。此外，它强调了头高位倾斜试验（HUTT）作为一种区分惊厥性晕厥与癫痫发作的方法的实用性，特别是在涉及迷走神经刺激的病例中。
