Literature DB >> 30464875

Reply to "The electroencephalogram in syncope".

Manabu Izumi1, Taro Okabe1, Masayoshi Komura1, Yasushi Hayashi1.   

Abstract

Entities:  

Year:  2018        PMID: 30464875      PMCID: PMC6238231          DOI: 10.1002/jgf2.217

Source DB:  PubMed          Journal:  J Gen Fam Med        ISSN: 2189-7948


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Thank you for your interest in our paper. As you mentioned, we did not reference Gastaut's research in this report. We researched various reports in PubMed, many of which discussed EEG and whole‐brain ischemia. However, a large portion of them discussed the relationship between relative brain ischemia, which was brought on by the head‐up tilt test and the Valsalva maneuver, and severe hypotension. As far as we could ascertain, few reports discuss EEG, convulsion, whole‐brain ischemia, and cardiac arrest. We apologize for lacking information on Gastaut's works. By searching “Author; Gastaut H” in PubMed, we found 418 reports. Eighteen reports examined the occurrence of syncope among patients with hypotension when the vasovagal reflex occurs or they perform the Valsalva maneuver.1 Additionally, Lempert et al2 reported on convulsive syncope with hypotension through videometric analysis. Apart from us, Diaz‐Castro et al3 also reported a case in which cardiac arrest caused systemic epilepsy. It is still a curious phenomenon for many physicians. However, there are ethical issues in conducting experimental trials to reveal the mechanism of this phenomenon in humans. Therefore, it is very important to add new knowledge through case reports. I have confidence that this case report has enough value to be published, even if my description of the background of this case did not refer to Gastaut's works, because the cause of brain ischemia in our case is quite different from Gastaut's.

CONFLICT OF INTEREST

The authors have stated explicitly that there are no conflicts of interest in connection with this article.
  3 in total

1.  Images in cardiovascular medicine. "Stokes-adams epilepsy": sometimes we need the electroencephalogram.

Authors:  Oscar Díaz-Castro; Pedro Orizaola; Sofía Vázquez; Carina González-Ríos; Mónica Pardo; Jesus A Fernández-Lopez; Dolores Escriche
Journal:  Circulation       Date:  2005-08-23       Impact factor: 29.690

2.  Syncopal attacks compulsively self-induced by Valsalva's maneuver associated with typical absence seizures. A case report.

Authors:  J Aicardi; H Gastaut; J Misès
Journal:  Arch Neurol       Date:  1988-08

3.  Syncope: a videometric analysis of 56 episodes of transient cerebral hypoxia.

Authors:  T Lempert; M Bauer; D Schmidt
Journal:  Ann Neurol       Date:  1994-08       Impact factor: 10.422

  3 in total

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