Syncope in patients with drug-resistant epilepsy without apparent cardiovascular disease.

Abstract:

:Epilepsy and syncope are clinical conditions with high prevalence rates in the general population, and the differential diagnosis between them is difficult. Objective To assess the frequency of syncope in patients diagnosed with drug-resistant epilepsy (DRE) without appa-rent heart disease, to investigate the relationship between clinical and electroencephalographic (EEG) changes, and to verify the role of the inclination test (IT). Method An open, prospective study from 2004 to 2006, including 35 consecutive patients from the Epilepsy Program of Hospital Universitário Clementino Fraga Filho who were diagnosed with DRE without apparent heart disease. Results The frequency of syncope was 25.7% (n=9), with a significant prevalence in women. Vasovagal syncope (VVS) was the most frequent diagnosis. Conclusion We found a significant association between syncope and the presence of autonomic symptoms (p=0.005). The IT plays an important role in the differential diagnosis of patients with DRE presenting with autonomic symptoms, regardless of EEG results and brain magnetic resonance imaging (MRI) abnormalities.

journal_name

Arq Neuropsiquiatr

authors

Alves-Leon SV,Pinto MP,Andraus ME,Pereira VC,Meira ID,Oliveira Rde C,Villas Boas S,Rêgo CC,Souza JP,Pedrosa RC

doi

10.1590/0004-282X20130179

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

925-30

issue

12

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2013001300925

journal_volume

71

pub_type

杂志文章
  • [Event-related cerebral potentials. Classification and clinical use].

    abstract::Event-related potentials (ERP) constitute an heterogeneous group of brain electrical signals time-locked to sensory stimulation, motor responses, and associative processes, recorded using computer averaging. Several kinds of brain electric activity are encompassed by the generic term "event related potentials": sensor...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1979000300006

    authors: Lolas F

    更新日期:1979-09-01 00:00:00

  • Different outcomes of phonemic verbal fluency in Parkinson's disease patients with subthalamic nucleus deep brain stimulation.

    abstract::Subthalamic nucleus deep brain stimulation (STN-DBS) is a surgical technique to treat motor symptoms in patients with Parkinson's disease (PD). Studies have shown that STN-DBS may cause a decline in verbal fluency performance. We aimed to verify the effects of STN-DBS on the performance of phonemic verbal fluency in B...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20170024

    authors: Romann AJ,Beber BC,Olchik MR,Rieder CRM

    更新日期:2017-04-01 00:00:00

  • [Trigeminal radiofrequency rhizotomy for the treatment of trigeminal neuralgia: results and technical modification].

    abstract::The purpose of this study was to evaluate the efficacy of radiofrequency trigeminal rhizotomy in treating 135 patients harboring trigeminal neuralgia, and to introduce a technical modification to guide the puncture of the foramen ovale. A hundred and one (74.8%) patients were treated with a single surgical procedure w...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2003000300020

    authors: Gusmão S,Magaldi M,Arantes A

    更新日期:2003-06-01 00:00:00

  • Temporal branch of facial nerve: a normative study of nerve conduction.

    abstract:UNLABELLED:The temporal branch of the facial nerve is particularly vulnerable to traumatic injuries during surgical procedures. It may also be affected in clinical conditions. Electrodiagnostic studies may add additional information about the type and severity of injuries, thus allowing prognostic inferences. The objec...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2010000400026

    authors: Silva PF,Lima MC,Figueiroa JN,Lins OG

    更新日期:2010-08-01 00:00:00

  • "Gliomatosis cerebri" simulating an acute diffuse encephalomyelitis. Case report.

    abstract::Neuroradiologic, neuropathologic and immunohistochemical features are reported in a young man with a impairment of the central nervous system mimicking an acute diffuse encephalomyelitis. A white male, 17 years old, healthy till 4 months before, when developed a right hemiparesis and after 2 months a bilateral hemipar...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1997000300023

    authors: Lancellotti CL,Amary MF,Barbastefano AM,Tilbery CP

    更新日期:1997-09-01 00:00:00

  • The functional assessment Berg Balance Scale is better capable of estimating fall risk in the elderly than the posturographic Balance Stability System.

    abstract::The purpose of this study was to verify which instrument better identifies recurrent falls in the elderly. Ninety-eight old people, with an average age of 80 ± 4 years, were submitted to an assessment of balance and fall risk by means of the Berg Balance Scale (BBS) and the posturographic Balance Stability System (BSS...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2013000100003

    authors: Pereira VV,Maia RA,Silva SM

    更新日期:2013-01-01 00:00:00

  • [Neonatal Streptococcus pyogenes meningitis and sagittal sinus thrombosis: case report].

    abstract::We report a case of Streptococcus pyogenes meningitis in a 18 days year-old-girl with clinical course complicated by sagittal sinus thrombosis. Some aspects of the pathogenesis, treatment and follow-up of the disease are discussed. The world increase of serious streptococcal infections in the last 10 years, probably w...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1998000500021

    authors: Krebs VL,Chieffi LN,Jurfest ME,Ceccon R,Diniz EM,Feferbaum R,Takeuchi CA,Marques-Dias MJ,Carneiro JD,Vaz FA

    更新日期:1998-12-01 00:00:00

  • Primary headache subtypes and thyroid dysfunction: Is there any association?

    abstract:BACKGROUND:Primary headaches, and particularly migraine and tension-type headache (TTH) as well as hypothyroidism are common medical conditions. To date, numerous studies have suggested a possible bidirectional relationship between migraine and hypothyroidism, although certain studies had contradictory results. OBJECT...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20200070

    authors: Spanou I,Christidi F,Liakakis G,Rizonaki K,Bougea A,Anagnostou E,Kararizou E

    更新日期:2020-11-01 00:00:00

  • [Non-Hodgkin lymphoma in adults. Protein profile of CSF and serum in 25 patients].

    abstract::Twenty-five non-Hodgkin's adult patients of a cohort studied for detection of neurologic involvement were evaluated on the cerebrospinal fluid (CSF) protein profile. CSF and serum were collected in the same occasion. Blood-brain barrier and local synthesis of IgG were studied. There was an incidence of neurologic sign...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1998000500011

    authors: Mielli SR,Beitler B,Galperin C,Palou VB,Livramento JA,Machado Ldos R,Gomes HR

    更新日期:1998-12-01 00:00:00

  • [Guillain-Barré syndrome as a manifestation of systemic lupus erythematosus. Report of a case].

    abstract::The case of a young female patient with acute symmetrical ascending polyneuropathy as a manifestation of systemic lupus erythematosus is reported. There was involvement of several cranial nerves and the cerebrospinal fluid showed albuminocytologic dissociation. Pathologic examination of the sural nerve showed degenera...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1980000200007

    authors: Moreira Filho PF,Nascimento OJ,Cinnicinatus D,Porto FJ,Freitas MR,Santos PC

    更新日期:1980-06-01 00:00:00

  • Computerized tomography findings in Fahr's syndrome.

    abstract::We analyzed computerized tomography (CT) findings in six patients with Fahr's syndrome. They presented calcifications in basal ganglia, dentate nucleus, subcortical region and semioval center, due to alteration in calcium metabolism or due to senile relative hypoxemic state. The image pattern was not strictly related ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2004000500009

    authors: Faria AV,Pereira IC,Nanni L

    更新日期:2004-09-01 00:00:00

  • Epilepsy is a disease!

    abstract::According to the definition of disease, epilepsy shall not be considered neither a symptom nor a syndrome. Epilepsy is a generic term for a group of diseases characterized by seizures. It implies a state quite distinct from health. Therefore it seems worthy to keep epilepsy as such in the International Classification ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1994000400025

    authors: Arruda WO

    更新日期:1994-12-01 00:00:00

  • Clinical features and treatment with botulinum toxin in blepharospasm: a 17-year experience.

    abstract:OBJECTIVE:It was to analyze clinical aspects of patients with blepharospasm, including outcomes of botulinum toxin treatment. Additionally, clinical characteristics of isolated blepharospasm were compared to those of blepharospasm plus other movement disorders. METHODS:Clinical data recorded during 17 years were revie...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2012000900003

    authors: Aquino CC,Felício AC,Castro PC,Oliveira RA,Silva SM,Borges V,Ferraz HB

    更新日期:2012-09-01 00:00:00

  • Hackathon as a way to raise awareness and foster innovation for stroke.

    abstract:UNLABELLED:The 'Time is Brain" concept has been a major focus in the World Stroke Awareness Campaign. OBJECTIVE:We describe our experience with a Hackathon (junction of hack+marathon), a 24 hour event of innovation- and technology-based project development, focused around detecting stroke. METHOD:The Hackathon was he...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20150177

    authors: Li LM,Johnson S

    更新日期:2015-12-01 00:00:00

  • Orbitofrontal sulcal and gyrus pattern in human: an anatomical study.

    abstract:UNLABELLED:The anatomical characterization of the orbitofrontal cortex in human is limited in literature instead of many functional and clinical studies involving it. OBJECTIVE:Anatomically define the orbitofrontal region aiming to possible neurosurgical treatments and unify the scientific nomenclature as well. METHO...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20150048

    authors: Rodrigues TP,Rodrigues MA,Paz Dde A,Costa MD,Centeno RS,Chaddad Neto FE,Cavalheiro S

    更新日期:2015-05-01 00:00:00

  • [Medulloblastomas: clinical, epidemiological and pathological findings in 28 cases].

    abstract::We report the clinical, epidemiological and pathological findings of 28 patients with medulloblastoma: 22 were male; age ranged from 1 to 50 years, with a mean of 15 years. The most frequent symptoms and signs were headache (64%) and vomiting (64%). Only one patient showed a desmoplastic medulloblastoma variant, the o...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2000000100012

    authors: Reis Filho JS,Gasparetto EL,Faoro LN,Araújo JC,Torres LF

    更新日期:2000-03-01 00:00:00

  • [Neurophysiology of pain in tentorial irritation: description of a case secondary to medulloblastoma].

    abstract::We report the case of a 32-year-old woman who complained of dull and compressing occipital pain, with unilateral radiation to the left frontal and supraorbital areas (of the sickening type). The radiological, clinical, neurosurgical and neuropathologic investigation disclosed a medulloblastoma bulging and tickening th...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1998000400027

    authors: Piovesan EJ,Werneck LC,Teive HA,Navarro F,Kówacs PA

    更新日期:1998-09-01 00:00:00

  • Management of rheumatic chorea: an observational study.

    abstract:BACKGROUND:Rheumatic chorea (RC) has recently been linked to an antibody-mediated immune mechanism. OBJECTIVE/METHOD:To verify if this knowledge reflected in management changes we conceived a descriptive study. RESULTS:The medical charts of 20 children (13 females) aged 6 to 12 years (mean 8 years), diagnosed as RC f...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:

    authors: Araujo AP,Padua PA,Maia Filho HS

    更新日期:2002-06-01 00:00:00

  • Neuronosology: historical remarks.

    abstract::Classifications for neurological disorders have evolved from following the theory of the humors to modern anatomical pathology and, recently, to the germ theory that stared the etiological era, as seen in book content lists. The symptomatic approach towards neuronosology was widely used until the middle of the 19(th) ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 历史文章,杂志文章

    doi:10.1590/s0004-282x2011000400028

    authors: Gomes Mda M

    更新日期:2011-06-01 00:00:00

  • [Increase of interleukin-2 soluble receptors in multiple sclerosis: preliminary study in 26 patients].

    abstract::Serum samples were analysed for interleukin-2 receptors levels (sIL-2R) in 26 patients with definite multiple sclerosis as defined by Poser and col. Three groups of patients form the basis of this study: group I, with 14 patients with clinical evidence of active disease; group II, with 12 patients with clinically stab...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1994000200011

    authors: Tilbery CP,Felipe E,Mota IM,Scheinberg MA

    更新日期:1994-06-01 00:00:00

  • EEG alpha peak frequency analysis during memorizing of figures in patients with mild cognitive impairment.

    abstract:OBJECTIVE:To investigate spectral analysis of electroencephalograms (EEG) for the alpha frequency band during rest and cognitive stimulation in healthy adults and individuals with mild cognitive impairment. METHOD:We analyzed 56 EEGs from 28 patients, 7 men and 21 women, 12 of whom (40%) were controls, 16 patients wit...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2009000300011

    authors: Schmidt MT,Anghinah R,Basile LF,Forlenza O,Gattaz WF

    更新日期:2009-06-01 00:00:00

  • [Developmental Gerstmann syndrome associated with cerebellar neoplasm. Report of a case and review of the literature].

    abstract::A Developmental Gerstmann syndrome in a 7 years-old-boy with hyperactivity, short attention span, acalculia, agraphia, right-left confusion, finger agnosia and constructional apraxia is reported. An initial trial with methylphenidate was done with good improvement regarding hyperactivity, attention span and constructi...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1975000100009

    authors: Werneck LC

    更新日期:1975-03-01 00:00:00

  • [Intracranial saccular aneurysm: report of 3 cases in a same family].

    abstract::The authors report the cases of three patients from the same family, all with intracranial saccular aneurysm (left carotid artery, anterior communicating artery, and middle cerebral artery). All three patients were operated on with good recovery and no complications. The authors call attention for some etiopathogenic ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1992000400018

    authors: Pinto JR,Godoy JM,Telles CR,Faria CS,Avelar MV,Nicaretta DH

    更新日期:1992-12-01 00:00:00

  • Clinical characteristics of patients with cerebellar ataxia associated with anti-GAD antibodies.

    abstract:Methods:This retrospective and descriptive study evaluated the clinical characteristics and outcomes of patients with CA-GAD-ab. Result:Three patients with cerebellar ataxia, high GAD-ab titers and autoimmune endocrine disease were identified. Patients 1 and 2 had classic stiff person syndrome and insidious-onset cere...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/0004-282X20170011

    authors: Aguiar TS,Fragoso A,Albuquerque CR,Teixeira PF,Souza MV,Zajdenverg L,Alves-Leon SV,Rodacki M,Lima MA

    更新日期:2017-03-01 00:00:00

  • [Ambulatory follow-up of patients with myelomeningocele in a pediatric hospital].

    abstract::Myelomeningocele is the most common congenital malformation of the nervous system and despite its complexity and involvement of multiple organs is compatible with long survival. The peculiar characteristics of this malformation expose myelomeningocele patients to acute and chronic care problems with effects in quality...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:

    authors: Salomão JF,Leibinger RD,Carvalho JG,Pinheiro JA,Lucchesi GL,Bomfim V

    更新日期:1995-09-01 00:00:00

  • [Percutaneous vertebroplasty for vertebral osteoporotic fractures: long term analysis].

    abstract:OBJECTIVE:To assess the long-term efficacy of percutaneous vertebroplasty for the treatment of pain resulting from osteoporotic vertebral fractures. METHOD:26 percutaneous vertebroplasty procedures were performed for osteoporotic vertebral fractures in 15 patients during the period between July 2001 and May 2004. Befo...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2007000300023

    authors: Astacio GS,Marchiori E,Gasparetto EL,Azevedo F

    更新日期:2007-06-01 00:00:00

  • [Behavior problems in patients with dementia. The impact on the career life].

    abstract::Many studies have suggested that caring for patients with dementia may be associated with increased burden, particularly when subjects present with prominent behavioural problems. The present work aimed to review studies appearing on MedLine between 1990 and January 1998 that included the following keywords: 'burden o...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-282x1999000300014

    authors: Garrido R,Almeida OP

    更新日期:1999-06-01 00:00:00

  • Headache is associated with lower alcohol consumption among medical students.

    abstract::The aim of this study was to investigate the association between headache and alcohol consumption among medical students. 480 medical students were submitted to a questionnaire about headaches and drinking alcohol. Headache was assessed by ID-Migraine and functional disability was evaluated with MIDAS. The evaluation ...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x2011000500009

    authors: Domingues RB,Domingues SA

    更新日期:2011-08-01 00:00:00

  • Botulinum toxin: mechanisms of action.

    abstract::This review describes therapeutically relevant mechanisms of action of botulinum toxin (BT). BT's molecular mode of action includes extracellular binding to glycoproteine structures on cholinergic nerve terminals and intracellular blockade of the acetylcholine secretion. BT affects the spinal stretch reflex by blockad...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-282x2005000100035

    authors: Dressler D,Saberi FA,Barbosa ER

    更新日期:2005-03-01 00:00:00

  • [Schistosomiasis of the central nervous system: report of a case].

    abstract::The neurological involvement in Manson's Schistosomiasis is rarely reported in the literature. The authors describe a case of a 23 years old patient born in São Francisco-MG. She presented with headache, vomiting, fever and stupor. The neurological examination showed stiffness of the neck, paresis with bilateral muscu...

    journal_title:Arquivos de neuro-psiquiatria

    pub_type: 杂志文章

    doi:10.1590/s0004-282x1990000300018

    authors: Ferreira MS,Costa-Cruz JM,Gomes MA

    更新日期:1990-09-01 00:00:00