Rinsho Shinkeigaku (Clinical Neurology)

Case Report

A case of Brugada syndrome which developed status epilepticus

Misa Matsui, M.D.1), Kimiko Inoue, M.D.1), Harutoshi Fujimura, M.D., Ph.D.1) and Saburo Sakoda, M.D., Ph.D.1)

1)Department of Neurology, National Hospital Organization Toneyama National Hospital

A 35-year-old man showed a convulsive attack with consciousness loss and was suspected of having Brugada syndrome 6 months prior to admission to our hospital. At the initial examination, the patient showed conjugate deviation, followed by left limb convulsions and consciousness loss. He regained consciousness after 1 minute, though cardiac arrest from ventricular fibrillation was noted during an electroencephalography (EEG) examination. Sinus rhythm recovered with defibrillation, though the convulsions persisted and a Status Epilepticus developed. The patient was diagnosed with Brugada syndrome and received implantable cardioverter defibrillator (ICD). After ICD, he has suffered no further convulsive attacks. Brugada syndrome is an inheritable cardiac disease causing sudden death by ventricular fibrillation. It is important to consider both epilepsy and arrhythmia in diagnosis of the seizures.
Full Text of this Article in Japanese PDF (625K)

(CLINICA NEUROL, 56: 857|861, 2016)
key words: Brugada syndrome, epilepsy, ventricular fibrillation, syncope, status epilepticus

(Received: 17-Aug-16)