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KMID : 1037620200070020127
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Pediatric Emergency Medicine Journal
2020 Volume.7 No. 2 p.127 ~ p.130
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A case of generalized tonic seizures related to acute myocarditis
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Yang Jeong-Hwan
Na Jae-Yoon
Lee Jin-Seok
Kim Da-Eun
Song Jin-Young
Kang I-Seok
Yeh Hye-Ryun
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Abstract
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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.
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KEYWORD
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Atrioventricular Block, Child, Myocarditis, Seizures, Syncope
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