• A Pourmand, S Davis, and K Yensen.
• Emergency Medicine Department, George Washington University School of Medicine and Health Sciences, Washington DC, United States. Electronic address: pourmand@gwu.edu.
• Am J Emerg Med. 2018 Jan 1; 36 (1): 169.e1-169.e3.

AbstractAcute seizures represent 1% of all visits to emergency departments in the United States. While many acute seizures are correctly attributable to underlying epilepsy, approximately one-third of acute seizures are provoked by underlying and potentially life-threatening acute conditions. Many clinical syndromes associated with seizure-like activity are well-established and readily identified in the acute setting. Cardiac dysrhythmias are known causes of acute seizure-like activity and, if transient and not captured by electrocardiogram tracings during acute episodes, may be incorrectly diagnosed as epileptic seizures. We report a case of acute ST-segment elevation myocardial infarction presenting with acute symptomatic seizure due to occult transient cardiac dysrhythmia.Copyright © 2017 Elsevier Inc. All rights reserved.

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