Anales del Sistema Sanitario de Navarra
versão impressa ISSN 1137-6627
CARMONA-IRAGUI, M. et al. Video-EEG monitoring and simultaneous ECG for the differential diagnosis of transient consciousness disorders: A case report. Anales Sis San Navarra [online]. 2012, vol.35, n.1, pp.159-165. ISSN 1137-6627. http://dx.doi.org/10.4321/S1137-66272012000100018.
We present the case of a 36 year-old woman, with history of transient consciousness disorders with vegetative state, interpreted as epileptic seizures and treated with valproic acid for two years. After nine asymptomatic years, they reappeared associated with migraine, vomiting and some generalized convulsions. Electroencephalogram and cerebral magnetic resonance turned out normal, and treatment with zonisamide was started, without beneficial results. Later cardiological studies objectified a blockage of the left branch that coincided with dizziness. The study was completed with Video-EEG monitoring, where there was an episode that showed right temporal epileptiform activity, with a diagnosis established of focal epilepsy of unknown etiology. At present, she remains asymptomatic with oxycarbazepine.
Palavras-chave : Transient consciousness disorder; Epileptic seizure; Syncope; Video-EEG monitoring; ECG.