Australasian Emergency Nursing Journal
Volume 13, Issue 1 , Pages 35-40 , May 2010

Transient loss of consciousness misdiagnosed as epileptic seizure: About one case

  • Lise Duggan, RN, GDipNurs, GCertEmergNurs, BNSc

      Affiliations

    • Corresponding Author InformationCorrespondence address: Tel.: +61 3 9496 5442; fax: +61 3 9496 3572.

Received 14 February 2009 ,Revised 24 September 2009 ,Accepted 12 November 2009.

References 

  1. Commonwealth Department of Health and Ageing. Emergency triage education kit. Available at: http://www.health.gov.au/publicat.html; 2007 [accessed 24.05.09].
  2. Australian College for Emergency Medicine. Guidelines for the implementation of the Australasian triage scale in emergency departments. Available from: http://www.medeserv.com.au/acem/open/documents/triageguide.htm; 2000 [accessed 27.04.07].
  3. Grubb B. Neurocardiogenic syncope. N Engl J Med. 2005;352(10):1004–1010
  4. Fitzpatrick A, Cooper P. Diagnosis and management of patients with blackouts. Heart. 2006;92:559–568
  5. Yamamoto L, Olaes E, Lopez A. Challenges in seizure management: neurologic versus cardiac emergencies. Top Emerg Med. 2004;26(3):212–224
  6. Smars PA, Decker WW, Shen WK. Syncope evaluation in the emergency department. Curr Opin Cardiol. 2007;22:44–48
  7. Reed MJ, Gray A. Collapse query cause: the management of adult syncope in the emergency department. Emerg Med J. 2006;23:589–594
  8. American College of Emergency Physicians . Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med. 2007;49(4):431–444
  9. Dunn M, Breen D, Davenport R, Gray A. Early management of adults with an uncomplicated first generalised seizure. Emerg Med J. 2005;22:237–242
  10. Benditt D, Sutton R. Tilt-table testing in the evaluation of syncope. J Cardiovasc Electrophysiol. 2005;16:356–358
  11. Australian Medicines Handbook. Phenytoin. Available at: http://proxy7.use.hcn.com.au/view.php?page=chapter16/monographphenytoin.html#phenytoin; 2009 [accessed 24.05.09].
  12. MIMS Online. Phenytoin injection BP (DBL). Available at: http://mims.hcn.net.au/ifmx-nsapi/mims-data/?MIval=2MIMS_abbr_pi&product_code=2951&product_name=Phenytoin+Injection+BP+%28DBL%29; 2009 [accessed 24.05.09].
  13. Schuele SU, Bermeo AC, Alexopoulos AV, Locatelli ER, Burgess RC, Dinner DS, et al. Video-electrographic and clinical features in patients with ictal asystole. Neurology. 2007;69:434–441
  14. Carinci V, Barbato G, Baldrati A, Di Pasquale G. Asystole induced by partial seizures: a rare cause of syncope. PACE. 2007;30:1416–1419
  15. Strzelcyk A, Bauer S, Knake S, Oertel WH, Hamer HM, Rosenow F. Ictal asystole in temporal lobe epilepsy before and after pacemaker implantation. Epileptic Disord. 2008;10(1):39–44

PII: S1574-6267(09)00251-1

doi: 10.1016/j.aenj.2009.11.001

Australasian Emergency Nursing Journal
Volume 13, Issue 1 , Pages 35-40 , May 2010