A Case of Pure Autonomic Seizure Presenting as Sinus Tachycardia

J Korean Neurol Assoc > Volume 22(6); 2004 > Article

Journal of the Korean Neurological Association 2004;22(6): 652-656.

동성빈맥으로 발현한 자율신경간질발작 1예

김영대, 양재훈 한상돈 신혜원 박수철

연세대학교 의과대학 신경과학교실

A Case of Pure Autonomic Seizure Presenting as Sinus Tachycardia

Young-Dae Kim

Department of Neurology, Yonsei University College of Medicine, Seoul, Korea

Abstract

Tachycardia rarely consists of an ictal symptomatology associated with autonomic symptoms such as sialorrhea, even if it commonly precedes or combines with a limbic aura of complex partial seizure. A 14-year-old boy with recurrent palpitation, chest discomfort, and sialorrhea suffered from a pure autonomic seizure presenting as sinus tachycardia with a neural origin, which had been misdiagnosed as paroxysmal supraventricular tachycardia without improvement by cardiac medication. The right mesial temporal origin was revealed by video CCTV-EEG with the profile of the heart rate during ictus. Key Words: Ictal tachycardia, Epilepsy, Temporal lobe