{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T22:11:46Z","timestamp":1766182306345},"reference-count":9,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,6,1]],"date-time":"2007-06-01T00:00:00Z","timestamp":1180656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:p>Recognition of cardiac syncope masquerading as epilepsy may be difficult in the Emergency Department. We report a middle\u2010aged man with recent onset convulsions who posed a diagnostic puzzle before it was found that he had paroxysmal ventricular standstill with complete atrioventricular block: he made a complete recovery after temporary pacemaker insertion. The main lessons from this case were (1) a convulsive seizure of only seconds duration and with an abrupt return of consciousness suggests syncope not epilepsy, (2) repeated, convulsive syncopes without provocation suggest cardiac syncope, (3) a 12\u2010lead ECG should be recorded as soon as possible after such a series of episodes and should not be discontinued until an event is captured, and (4) Emergency Department clinicians should be familiar with any automatic gain on their ECG machine, lest fast, atrial activity be mistaken for narrow complex tachycardia. In summary, a good clinical history is of prime importance in differentiating convulsive syncope from epilepsy, and a simple, non\u2010invasive cardiovascular evaluation may help to diagnose the condition as cardiac syncope.<\/jats:p>","DOI":"10.1684\/epd.2007.0105","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T14:48:30Z","timestamp":1711550910000},"page":"179-181","source":"Crossref","is-referenced-by-count":5,"title":["Unrecognized paroxysmal ventricular standstill masquerading as epilepsy: a Stokes\u2010Adams attack"],"prefix":"10.1002","volume":"9","author":[{"given":"Chi\u2010Fang","family":"You","sequence":"first","affiliation":[{"name":"Emergency Department Shin\u2010Kong Wu Ho\u2010Su Memorial Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chee\u2010Fah","family":"Chong","sequence":"additional","affiliation":[{"name":"Emergency Department Shin\u2010Kong Wu Ho\u2010Su Memorial Hospital"},{"name":"School of Medicine Fu Jen Catholic University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzong\u2010Luen","family":"Wang","sequence":"additional","affiliation":[{"name":"Emergency Department Shin\u2010Kong Wu Ho\u2010Su Memorial Hospital"},{"name":"School of Medicine Fu Jen Catholic University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzu\u2010Yao","family":"Hung","sequence":"additional","affiliation":[{"name":"Emergency Department Shin\u2010Kong Wu Ho\u2010Su Memorial Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien\u2010Chih","family":"Chen","sequence":"additional","affiliation":[{"name":"Emergency Department Shin\u2010Kong Wu Ho\u2010Su Memorial Hospital"},{"name":"School of Medicine Fu Jen Catholic University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,6]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"353","article-title":"Cases of diseases of the heart accompanied with pathological observations","volume":"4","author":"Adams R","year":"1827","journal-title":"Dublin Hosp Rep"},{"key":"e_1_2_5_3_1","first-page":"441","article-title":"Diagnosis and management of epilepsy","volume":"168","author":"Blume WT","year":"2003","journal-title":"CMAJ"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.503144"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.9.6.857"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.19.1.86"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410360217"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410110513"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02963146"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00700-2"}],"container-title":["Epileptic Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1684\/epd.2007.0105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T16:47:10Z","timestamp":1711558030000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1684\/epd.2007.0105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,6]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,6]]}},"alternative-id":["10.1684\/epd.2007.0105"],"URL":"https:\/\/doi.org\/10.1684\/epd.2007.0105","archive":["Portico"],"relation":{},"ISSN":["1294-9361","1950-6945"],"issn-type":[{"value":"1294-9361","type":"print"},{"value":"1950-6945","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,6]]}}}