Vasovagal syncope with seizure like activity

  1. 1 vasovagal syncope with seizure like activity: anyody seen it?
    in other words, a typical vasovagal trigger, followed by fainting, and tonic movements.

    this article claims an 8% incidence rate, and i am wondering if others have seen this. i haven't.


    [color=#333333]http://heartdisease.about.com/cs/gen...opeseizure.htm

    [color=#333333]in a 6-year study conducted by investigators at northwestern university, up to 8% of patients with vasovagal syncope displayed seizure-like activity when they lost consciousness during a tilt table study. these patients underwent extensive neurological evaluations including eeg (electroencephalogram - a study of the electrical signals produced by the brain), cat scans, and mri scans, and none proved to have evidence of a true seizure disorder. their seizure-like movements during syncope are apparently caused by temporary but extremely low blood pressure during the syncopal episode.
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  3. Visit  hherrn profile page

    About hherrn

    Joined Jun '07; Posts: 547; Likes: 1,510.

    22 Comments so far...

  4. Visit  Quickbeam profile page
    0
    In my population (people desperate to get their driver's licenses back) it seems like EVERYONE has this! Seriously, I see this on medical reports every single day. I think the clinical picture is muddied by states like mine which will let you drive after a vasovagal event but not after a seizure. It skews what neurologists and treating MDs call the event.

    I see a lot of neuros using this when a person has had an event but a negative EEG.
  5. Visit  RockyCreek profile page
    0
    Both my husband and my daughter have this reaction to shots and seeing their own blood drawn. Interesting to watch but no long-term effects noted in either.
  6. Visit  HonestRN profile page
    0
    Quote from Quickbeam
    In my population (people desperate to get their driver's licenses back) it seems like EVERYONE has this! Seriously, I see this on medical reports every single day. I think the clinical picture is muddied by states like mine which will let you drive after a vasovagal event but not after a seizure. It skews what neurologists and treating MDs call the event.

    I see a lot of neuros using this when a person has had an event but a negative EEG.
    Actually my son has neurocardiogenic syncope and it is a valid diagnosis. After his first event he had a negative EEG and cardiac work-up. A tilt table test verified neurocardiogenic syncope. His BP dropped from 118/70 to 60/46 on the tilt table within 7-8 minutes and his HR dropped to the 50's. Fastest tilt table faint seen at the level two trauma center he was tested at.

    To answer the OP though, he has never manifested any seizure like activity with his syncope. His eyes roll back in his head and he goes down.
  7. Visit  EricJRN profile page
    0
    At the blood donor center where I worked, some muscle twitching in the extremities wasn't uncommon in vasovagal syncope. They usually recovered as quickly as they started feeling bad.
  8. Visit  Quickbeam profile page
    0
    Whoa! I never said it wasn't a valid diagnosis!!!! I just said it has become a slippery slope term which can be overused when the event has no known cause. Plus there is the weight of outcome consequences (e.g. commerical driver can continue to make 100K a year if it is a vasovagal event, minimum wage if it was a seizure.....)
  9. Visit  luvschoolnursing profile page
    0
    My husband has vasovagal syncope. I have only seen him have seizure-like activity once, during a blood draw. It was our premarital bloodwork-I think he was probably nervous to begin with!!

    I think his brother has seizure symptoms, too.
  10. Visit  HonestRN profile page
    0
    Quickbeam what state are you in? When my son was diagnosed in WI the fainting alone was enough to suspend his driving privileges. Maybe that is why the diagnosis wasn't all that common there.
  11. Visit  granzanz profile page
    0
    I have a son who does this with blood draws, injections and just talking about IVs makes him nauseated... I wouldn't have believed it had I not witnessed it several times...
  12. Visit  Lacie profile page
    0
    I have seen very similar in my dialysis patients but only a few times. These were pts with no hx of seizure disorder but would have seizure like activity when they became suddenly hypotensive during thier dialysis tx. I initially would suspect thier calcium levels may be the root but the only thing out of sort was the dialysis related hypotension.
  13. Visit  canoehead profile page
    0
    I saw this all the time in OB.
  14. Visit  swsh10 profile page
    0
    Have seen said symptoms stated in our preop area - usually after starting IVs on young male pts.
  15. Visit  Passout profile page
    1
    Funny that you mention that. I am 15 years old and have that. I was at an eye doctor and he put in the yellow drops to numb, or I don't know what. I'm feeling funny, it's just because the eye drops feel weird and I'm freaking out I tell myself. The room gets cloudy and I'm having a feeling of excited activity, I hear static then see the doctor and my dad standing over me, then hearing returns. That eye doctor had no idea what happened. He thought I had a problem with seizures. I felt sick, and weird for a few HOURS afterward. So, I was still wanting to get contacts so I went to another eye doctor thinking that the other one didn't know what he was doing, since he didn't know what happened. I told the doctor about it, she didn't even ask that many questions......should have been a clue.... She does tests then she says she's going to put eye drops in. She puts them in and I feel the same feeling in my eyes from the eye drops that I did the last time before I passed out. She told me to relax, after I told her that I was starting to freak out a little/heart started fluttering in preparation for unconsciousness (it was mostly me worrying but none the less, I was started to thing that maybe it's going to happen again) , she does a pressure test. I've had the eye drops in for about a minute or so, and then she tells me she's going to put the eye drops in to dilate my eyes. That's what the last doctor did before I passed out......sigh... I asked her a few questions why she had to put them in, thinking I might tell her to not put them in, but I let her. She put them in and 10 seconds later I saw the room getting smaller and said either,"I feel funny," or," It's happening." I wake up with the same static sound and then see the doctor and this time it was my mom. Apparently I had been out for about 30 seconds, about the same as last time. My mom said that I said that, then my eyes rolled back in my head, and I went back in the chair, jerked, tensed up, then started flailing, jerking my arms around while she was trying to hold me and the doctor wasn't doing anything productive. Then she said my eye's returned, then for about 10 seconds I didn't say anything, then I became coherent. The last time I jerked back in my chair and convulsed, like a seizure my dad said. This time though, I felt fine afterwords, no sickness or weird feeling. Just a little pale and clammy for a minute afterward. So, both times the same basic thing happened. I can't remember if the first doctor gave me and eye pressure test though. The new doctor said that she'd right on my paper to do a special pressure test where you don't have to push on my eye. She seemed to thing the pressure test is what did it. This time my pupils dialated, the last time they didn't, so maybe he only put in the numbing drops. Ok, so if there is a test where they don't touch my eyeball for a pressure test, then why the heck didn't she do that in the first place!!!!!!!! I told her I passed out before. So I don't know. I kinda think it's the yellow, numbing eye drops, she's the one who has the college degree though....
    kgelinasRN likes this.


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