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Your search keyword '"MOLONEY, D."' showing total 2 results
Start Over Author "MOLONEY, D." Publisher bmj pub. group
2 results on '"MOLONEY, D."'

2. Todd's paresis following vasovagal syncope provoked by tilt-table testing.

Author

Moloney D, Pérez-Denia LP, and Kenny RA

Subjects
Adult, Blood Pressure Determination methods, Diagnosis, Differential, Female, Heart Rate physiology, Humans, Patient Care Management methods, Unconsciousness diagnosis, Unconsciousness etiology, Electroencephalography methods, Epilepsies, Myoclonic diagnosis, Paralysis diagnosis, Patient Education as Topic methods, Syncope, Vasovagal diagnosis, Syncope, Vasovagal physiopathology, Syncope, Vasovagal therapy, Tilt-Table Test adverse effects, Tilt-Table Test methods
Abstract

A 38-year-old woman presented with a history of recurrent episodes of transient loss of consciousness (TLOC) with seizure-like activity and post-TLOC left sided paresis. Electroencephalogram and MRI of the brain were normal, and events were not controlled by anti-convulsant therapy. Tilt testing produced reflex mixed pattern vasovagal syncope, with exact symptom reproduction, including bilateral upper and lower limb myoclonic movements and post-TLOC left hemiparesis that persisted for 27 min. A witness for the tilt event confirmed reproduction of patients 'typical' TLOC event. Syncope is the most frequent cause of TLOC. Myoclonic movements during syncope are not uncommon and can be misdiagnosed as epilepsy. It is rare to experience paresis after syncope, which in this case, lead to misdiagnosis and unnecessary anti-convulsant treatment., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2020
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