Şengeze, N Suleyman Demirel University - Faculty of Medicine - Department of Neurology, Turkey , Yürekli, V A Suleyman Demirel University - Faculty of Medicine - Department of Neurology, Turkey , Gülcan, M Suleyman Demirel University - Faculty of Medicine - Department of Cardiology, Turkey , Varol, E Suleyman Demirel University - Faculty of Medicine - Department of Cardiology, Turkey

Adams-Stokes attacks: Imitator of epilepsy

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Stokes-Adams Syndrome is commonly seen in elderly patients and does not cause any symptoms in most cases. However, it may have convulsions that mimic epileptic seizures during periods of cerebral ischemia. These symptoms are often intermittent, changeable and unpredictable. The most common cause of this syndrome is cardiac arrhythmias. Despite numerous investigations for this syndrome, most diagnoses are made by 12-lead electrocardiography. Cardiac pacemaker implantation is the most powerful therapy.A patient who had stroke history, was admitted to the emergency department with repetitive convulsions that mimic epileptic seizures. Also these convulsions included loss of consciousness and tonic-clonic jerks. The convulsions were associated with cardiac arrhythmia and increased with antiepileptic therapy. The aim of this paper is to review the Stokes-Adams attack and its similarity to epileptic seizure with a case report.

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Stokes , Adams syndrome , epileptic seizures , sick sinus syndrome , convulsive syncopes

Ege Journal Of Medicine

48