Cardiac syncope from occult transposition masquerading as convulsive epilepsy.
A four-year-old boy on Valproate therapy for a presumed diagnosis of epilepsy presented with a recurrence of tonic spasms. A history of precipitation of these episodes with exercise prompted a search for an underlying cardiac disorder. The child was ultimately diagnosed to have corrected transposition of great arteries with 2:1 atrioventricular block. This case illustrates that cardiac syncope due to underlying congenital heart disease can masquerade as epilepsy in children.
Department of Pediatrics, UCMS&GTB Hospital, F-4 (A), Vijay Nagar, Delhi 110009, India.
Manish
M
Narang
T
T
Dua
Sunil
S
Gomber
Viresh
V
Mahajan
D000927:Anticonvulsants / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006327:Heart Block / Q000150:complications*; D006801:Humans; D008297:Male; D012640:Seizures / Q000175:diagnosis* / Q000188:drug therapy; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology*; D014188:Transposition of Great Vessels / Q000150:complications*; D014635:Valproic Acid / Q000627:therapeutic use
D000927:Anticonvulsants; D014635:Valproic Acid