An Elderly Woman With Recurrent Transient Loss of Consciousness Preceded by Hallucinatory Attacks

J. Matthijs Biesbroek, MD, PhD; Martijn C. Post, MD, PhD; Simone H. Hijlkema, MD; Selma C. Tromp, MD, PhD

JACC: Case Reports (Sep 2020)

An Elderly Woman With Recurrent Transient Loss of Consciousness Preceded by Hallucinatory Attacks

J. Matthijs Biesbroek, MD, PhD,
Martijn C. Post, MD, PhD,
Simone H. Hijlkema, MD,
Selma C. Tromp, MD, PhD

Affiliations

J. Matthijs Biesbroek, MD, PhD: Department of Neurology and Clinical Neurophysiology, St. Antonius Hospital, Nieuwegein, the Netherlands; Department of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, the Netherlands; Address for correspondence: Dr. J. Matthijs Biesbroek, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584CX, Utrecht, the Netherlands.
Martijn C. Post, MD, PhD: Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands; Department of Cardiology, Utrecht University Medical Center, Utrecht, the Netherlands
Simone H. Hijlkema, MD: Department of Neurology and Clinical Neurophysiology, St. Antonius Hospital, Nieuwegein, the Netherlands
Selma C. Tromp, MD, PhD: Department of Neurology and Clinical Neurophysiology, St. Antonius Hospital, Nieuwegein, the Netherlands

Journal volume & issue: Vol. 2, no. 11
pp. 1824 – 1827

Abstract

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We report a patient with transient loss of consciousness preceded by hallucinations caused by cardiac syncope. The diagnosis was confirmed by simultaneous video-electrocardiogram-electroencephalogram recording of an event. The attacks no longer occurred after pacemaker implantation. Clinical features helpful in guiding decision making in transient loss of consciousness are discussed. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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