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Case of cough syncope with seizure
1Research Institute for Diseases of the Chest, Kyushu University, Fukuoka, Japan.
Respiration; International Review of Thoracic Diseases
|January 1, 1994
Summary
A rare case of cough syncope with seizure was effectively treated. Bronchodilators and antiepileptic drugs controlled both the cough syncope and seizure events in this patient.
Area of Science:
- Neurology
- Pulmonology
Background:
- Cough syncope is a rare condition characterized by transient loss of consciousness triggered by coughing.
- Epileptic seizures can rarely be associated with cough syncope, presenting a diagnostic challenge.
Observation:
- A 55-year-old male presented with a rare combination of cough syncope and seizure.
- Interseizure electroencephalogram (EEG) demonstrated bilateral temporal spikes and sharp waves, indicative of epileptic activity.
Findings:
- The patient's cough syncope and seizure episodes were effectively managed with a combination of bronchodilators and antiepileptic medication.
- This suggests a potential link between the underlying respiratory or neurological condition and the observed symptoms.
Implications:
- This case highlights the importance of considering epilepsy in patients with recurrent syncope, especially when triggered by specific events like coughing.
- Combined pharmacological treatment targeting both respiratory and neurological pathways can be effective in managing this rare comorbidity.