J Korean Soc Emerg Med.  2003 Jun;14(2):202-205.

Brugada Syndrome Presenting With Convulsion in the Emergency Department: A Case Report

• Kim MR
• Lee SL
• Ryu SY
• Kim HY

Abstract

Patients who present with convulsions in the emergency department are sometimes mistakenly treated for epilepsy even though ventricular tachyarrhythmia is an uncommon cause of convulsions in adults. The Brugada syndrome is a rare genetic disorder characterized electrocardiographically by a pattern of ST-segment elevation in leads V1 to V3 without any structural abnormality of heart. Convulsive syncope often caused by cerebral hypoperfusion during arrhythmia is an unusual presentation of a patient with Brugada syndrome; thus, we should be strongly suspicious of other cardiac causes, such as ARVD (arrhythmogenic right ventricular dysplasia) or CAD (coronary artery disease), etc. Now we report a case of the Brugada syndrome in which a seizure -like episode was the initial clinical manifestation.

Keyword

Brugada syndrome; Convulsion

MeSH Terms

Adult
Arrhythmias, Cardiac
Arteries
Brugada Syndrome*
Electrocardiography
Emergencies*
Emergency Service, Hospital*
Epilepsy
Heart
Humans
Seizures*
Syncope
Tachycardia