A case of generalized tonic seizures related to acute myocarditis

It is challenging to clinically distinguish between convulsive syncope and true seizure. We describe a 7-year-old girl presenting with generalized tonic seizure caused by acquired complete atrioventricular block related to acute myocarditis. After hospitalization following 6 episodes of new-onset fe...

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Bibliographic Details
Published in:Taehan Soa Ŭnggup Ŭhakhoe chi 2020, 7(2), , pp.127-130
Main Authors: Yang, Jeong-Hwan, Lee, Jinseok, Kim, Da-Eun, Song, Jinyoung, Kang, I-Seok, Yeh, Hyeryun
Format: Article
Language:English
Subjects:
atrioventricular block
child
myocarditis
seizures
syncope
소아과학
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Summary:It is challenging to clinically distinguish between convulsive syncope and true seizure. We describe a 7-year-old girl presenting with generalized tonic seizure caused by acquired complete atrioventricular block related to acute myocarditis. After hospitalization following 6 episodes of new-onset fever with seizure, she had a short episode of abrupt complete atrioventricular block followed by another generalized tonic seizure. The concentrations of cardiac enzymes were elevated, and her echocardiogram showed a decreased left ventricular function. This case underlines the necessity of cardiac investigations in children with convulsive syncope.
ISSN:2383-4897
2508-5506
DOI:10.22470/pemj.2020.00087