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Stretch syncope or epileptic seizure? A pathologic hypothesis for self-induced stretch syncope.
Routier, Laura; Bourel-Ponchel, Emilie; Heberle, Claire; Mathiron, Amel; Urbina-Hiel, Bérangère; Faucon, Caroline; Berquin, Patrick; Wallois, Fabrice.
Afiliación
  • Routier L; GRAMFC, INSERM U1105, Jules Verne University of Picardie, Amiens, France; Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, Amiens, France. Electronic address: routier.laura@chu-amiens.fr.
  • Bourel-Ponchel E; GRAMFC, INSERM U1105, Jules Verne University of Picardie, Amiens, France; Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, Amiens, France.
  • Heberle C; GRAMFC, INSERM U1105, Jules Verne University of Picardie, Amiens, France; Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, Amiens, France.
  • Mathiron A; Pediatric Neurology Department, Amiens-Picardie University Hospital, Amiens, France.
  • Urbina-Hiel B; Pediatric Neurology Department, Amiens-Picardie University Hospital, Amiens, France.
  • Faucon C; Pediatric Neurology Department, Amiens-Picardie University Hospital, Amiens, France.
  • Berquin P; GRAMFC, INSERM U1105, Jules Verne University of Picardie, Amiens, France; Pediatric Cardiology Department, Amiens-Picardie University Hospital, Amiens, France.
  • Wallois F; GRAMFC, INSERM U1105, Jules Verne University of Picardie, Amiens, France; Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, Amiens, France.
Neurophysiol Clin ; 50(5): 383-386, 2020 Oct.
Article en En | MEDLINE | ID: mdl-33172760
We report on a 7-year-old female who presented paroxysmal episodes of loss of consciousness with clonic movements. The electroencephalogram (EEG) evidenced diffuse slow wave activations, with no symptoms. Epilepsy was suspected but antiepileptic drugs were ineffective. Video-EEG monitoring revealed that the syncope was triggered by stretching with a tachycardia that started during the stretch maneuver and diffuse slow waves on the EEG 2s before the symptoms. Stretch syncope can result in striking manifestations with subcortically driven clonic movements that can be mistaken for signs of epilepsy. Stretching might lead to transient hypoxia of the brainstem; in turn, this might activate the thalamocortical loop and thus generate cardiovascular changes, EEG slow waves, and physical manifestations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Convulsiones / Epilepsia Tipo de estudio: Diagnostic_studies Límite: Child / Female / Humans Idioma: En Revista: Neurophysiol Clin Asunto de la revista: FISIOLOGIA / NEUROLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Convulsiones / Epilepsia Tipo de estudio: Diagnostic_studies Límite: Child / Female / Humans Idioma: En Revista: Neurophysiol Clin Asunto de la revista: FISIOLOGIA / NEUROLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Francia