급성 심근염으로 인한 전신강직발작 증례
A case of generalized tonic seizures related to acute myocarditis
양정환, 나재윤, 이진석, 김다은, 송진영, 강이석, 예혜련,
소속 상세정보
양정환 ( Yang Jeong-Hwan )
Seoul Medical Center Department of Pediatrics
나재윤 ( Na Jae-Yoon )
Seoul Medical Center Department of Pediatrics
이진석 ( Lee Jin-Seok )
Seoul Medical Center Department of Pediatrics
김다은 ( Kim Da-Eun )
Seoul Medical Center Department of Pediatrics
송진영 ( Song Jin-Young )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Pediatrics
강이석 ( Kang I-Seok )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Pediatrics
예혜련 ( Yeh Hye-Ryun )
Seoul Medical Center Department of Pediatrics
Abstract
It is challenging to clinically distinguish between convulsive syncope and true seizure. We describe a 7-year-old girl presenting with generalized tonic seizure caused by acquired complete atrioventricular block related to acute myocarditis. After hospitalization following 6 episodes of new-onset fever with seizure, she had a short episode of abrupt complete atrioventricular block followed by another generalized tonic seizure. The concentrations of cardiac enzymes were elevated, and her echocardiogram showed a decreased left ventricular function. This case underlines the necessity of cardiac investigations in children with convulsive syncope.
키워드
Atrioventricular Block; Child; Myocarditis; Seizures; Syncope
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