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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Main Authors: Jeong-Hwan Yang, Jae Yoon Na, Jinseok Lee, Da-Eun Kim, Jinyoung Song, I-Seok Kang, Hyeryun Yeh
Format: Article
Language:English
Published: Korean Society of Pediatric Emergency Medicine 2020-12-01
Series:Pediatric Emergency Medicine Journal
Subjects:
Online Access:http://pemj.org/upload/pdf/pemj-2020-00087.pdf
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author Jeong-Hwan Yang
Jae Yoon Na
Jinseok Lee
Da-Eun Kim
Jinyoung Song
I-Seok Kang
Hyeryun Yeh
author_facet Jeong-Hwan Yang
Jae Yoon Na
Jinseok Lee
Da-Eun Kim
Jinyoung Song
I-Seok Kang
Hyeryun Yeh
author_sort Jeong-Hwan Yang
collection DOAJ
description 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.
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spelling doaj.art-b6c5f55cd0854d42a81d4a7fa7c76b2f2023-04-04T23:54:31ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062020-12-017212713010.22470/pemj.2020.00087106A case of generalized tonic seizures related to acute myocarditisJeong-Hwan Yang0Jae Yoon Na1Jinseok Lee2Da-Eun Kim3Jinyoung Song4I-Seok Kang5Hyeryun Yeh6Department of Pediatrics, Seoul Medical Center, Seoul, KoreaDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Pediatrics, Seoul Medical Center, Seoul, KoreaDepartment of Pediatrics, Seoul Medical Center, Seoul, KoreaDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Pediatrics, Seoul Medical Center, Seoul, KoreaIt 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.http://pemj.org/upload/pdf/pemj-2020-00087.pdfatrioventricular blockchildmyocarditisseizuressyncope
spellingShingle Jeong-Hwan Yang
Jae Yoon Na
Jinseok Lee
Da-Eun Kim
Jinyoung Song
I-Seok Kang
Hyeryun Yeh
A case of generalized tonic seizures related to acute myocarditis
Pediatric Emergency Medicine Journal
atrioventricular block
child
myocarditis
seizures
syncope
title A case of generalized tonic seizures related to acute myocarditis
title_full A case of generalized tonic seizures related to acute myocarditis
title_fullStr A case of generalized tonic seizures related to acute myocarditis
title_full_unstemmed A case of generalized tonic seizures related to acute myocarditis
title_short A case of generalized tonic seizures related to acute myocarditis
title_sort case of generalized tonic seizures related to acute myocarditis
topic atrioventricular block
child
myocarditis
seizures
syncope
url http://pemj.org/upload/pdf/pemj-2020-00087.pdf
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