동성빈맥으로 발현한 자율신경간질발작 1예

Abstract

Tachycardia rarely consists of an ictal symptomatology associated with autonomic symptoms such as sialorrhea, even if it commonly precedes or combines with a limbic aura of complex partial seizure. A 14-year-old boy with recurrent palpitation, chest discomfort, and sialorrhea suffered from a pure autonomic seizure presenting as sinus tachycardia with a neural origin, which had been misdiagnosed as paroxysmal supraventricular tachycardia without improvement by cardiac medication. The right mesial temporal origin was revealed by video CCTV-EEG with the profile of the heart rate during ictus.