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Diástasis escafolunar: signo de Terry-Thomas by Cervera, Ana Gema Pérez; Ribas, Miguel Ãngel Sarlat is a Medicine article available to read on EtoBox.

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Background: Approximately 28% of patients with confirmed long QT syndrome (LQTS) present with a seizure phenotype. Sudden unexpected death in epilepsy (SUDEP) is the most common cause of death in patients with intractable epilepsy and conveys a mortality risk 24 times greater than the general population. Case: 42-year-old female with a past medical history of seizures refractory to antiepileptic drugs was referred to cardiology for evaluation of palpitations without syncope. The patient had prior coronary angiography which revealed no significant coronary disease. Her baseline ECG revealed normal sinus rhythm, rare PVCs and a variable QTc interval of 460-508 msec. The patient was treated with a beta-blocker and an outpatient event monitor was placed. During sleep, the patient had a witnessed grand mal seizure for which she received CPR. She was wearing the event monitor at the time of her seizure revealing a six-minute episode of polymorphic ventricular tachycardia. Genetic testing was positive for LQT-1. Decision-Making: Identifying patients at risk for SUDEP includes careful assessment for cardiac arrhythmias. The decision for cardiac monitoring and genetic testing was critical t

Who reads Diástasis escafolunar: signo de Terry-Thomas?

Author

Cervera, Ana Gema Pérez; Ribas, Miguel Ãngel Sarlat

Publisher

Elsevier Science; Elsevier ; Ediciones Doyma S.A.; Elsevier BV (ISSN 1134-2072)

Published

2020

Language

ES

Field

Medicine (Health Sciences)