{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:11:09Z","timestamp":1710807069864},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T00:00:00Z","timestamp":1370044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006435","name":"Central European Institute of Technology","doi-asserted-by":"publisher","award":["CZ.1.05\/1.1.00\/02.0068"],"award-info":[{"award-number":["CZ.1.05\/1.1.00\/02.0068"]}],"id":[{"id":"10.13039\/501100006435","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Syncope is a condition often misdiagnosed as epilepsy. Syncope caused by cardiac disturbance is a life\u2010threatening condition and accurate diagnosis is crucial for patient outcome. We present a case study of a 71\u2010year\u2010old woman who was referred to our epilepsy centre with a diagnosis of refractory epilepsy. We diagnosed convulsive syncope caused by malignant cardiac arrhythmia based on the presence of cardiac asystole lasting for 20\u201030 seconds, which was caused by sick sinus syndrome combined with third\u2010degree atrioventricular block. The most prominent feature of this syncope was atypical trunk (abdominal or thoracoabdominal) convulsions, which were accompanied by other motor signs (head and eye deviation and brief jerks of the extremities). In the periods between attacks, all investigations, including standard 12\u2010lead ECG and 24\u2010hour ECG monitoring, were normal. This case study highlights the challenge in differential diagnosis of sudden loss of consciousness. 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