title: From Clinical Misdiagnosis to Electrophysiological Diagnosis: Two Male Asystole Cases.
abstract: Differential diagnosis of epilepsy and syncope may be difficult. Arrhythmias such as asystole, or ventricular fibrillation, may lead to cerebral hypoperfusion mimicking partial or secondary generalized tonic-clonic seizures. While performing an electroencephalogram (EEG) for epilepsy diagnosis, simultaneous electrocardiogram (ECG) recording may detect cardiac pathology. In this article, through 2 cases, who had cardiac asystole during the EEG, we demonstrate the importance of ECG during EEG. To rule out cardiac pathology in syncope cases, all necessary investigations must be done.
authors.affiliation: Bakırkoy Research and Training Hospital for Psychiatry, Neurology, Neurosurgery, Department of Neurology Istanbul, Turkey betultekin2013@hotmail.com.
authors.forename: Betül
authors.initials: B
authors.lastname: Tekin Güveli
authors.affiliation: Istanbul University, Istanbul Faculty of Medicine, Department of Neurology, Istanbul, Turkey.
authors.forename: Candan
authors.initials: C
authors.lastname: Gürses
authors.affiliation: Bakırkoy Traning and Research Hospital, Department of Cardiology, Istanbul, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Özde
authors.affiliation: Bakırkoy Traning and Research Hospital, Department of Cardiology, Istanbul, Turkey.
authors.forename: İlker Murat
authors.initials: İM
authors.lastname: Çağlar
authors.affiliation: Bakırkoy Traning and Research Hospital, Department of Neurology, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Çabalar
authors.affiliation: Bezmialem Vakif University, Faculty of Medicine, Department of Neurology, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kolukısa
authors.affiliation: Bakırkoy Traning and Research Hospital, Department of Neurology, Istanbul, Turkey.
authors.forename: Vildan
authors.initials: V
authors.lastname: Yayla
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control; D004562:Electrocardiography / Q000379:methods*; D004569:Electroencephalography / Q000379:methods*; D004827:Epilepsy / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D013575:Syncope / Q000150:complications / Q000175:diagnosis*; D055815:Young Adult
keywords: EEG; asystole; diagnosis; epilepsy; syncope