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Indian Journal of Trauma and Emergency Pediatrics

Volume  12, Issue 1, January-March 2020, Pages 41-43
 

Case Report

A Rare Cause of Syncope Mimicking Refractory Seizure in a Child: Case Report

Ahamed Ashar Ali H1, Thahseen Nilofar S2

1Consultant Intensivist, Department of Anesthesiology and Critical Care, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu 625107, India. 2Consultant Paediatrician, Department of Pediatrics, Vadamalayan Hospitals, Chockikulam, Madurai, Tamil Nadu 625002, India.

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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.12120.6

Abstract

Background: Transient loss of consciousness may be due to cardiac cause. Arrhythmias may lead to syncope or to sudden death. Long QT syndrome (LQTS) is a genetically transmitted cardiac arrhythmia caused by ion channel protein abnormalities. It is characterized by electrocardiographic abnormalities and a high incidence of sudden cardiac death. Case Report: We report a case of long QT syndrome in a 10-year girl child who was treated for refractory seizures with multiple antiepileptic drugs. Simple electrocardiography confirmed the diagnosis. Conclusion: Child was treated with non-selective beta blocker and showed dramatic response.

Keywords: Arrhythmia; Beta blocker; LQTS; Refractory seizure; Syncope.


Corresponding Author : Thahseen Nilofar S