Brugada syndrome masquerading as febrile seizures

被引：53

作者：

Skinner, Jonathan Robert

Chung, Seo-Kyung

Nel, Carey-Anne

Shelling, Andrew Neil

Crawford, Jackie Robyn

McKenzie, Neil

Pinnock, Ralph

French, John Kerswell

Rees, Mark Ian

机构：

[1] Starship Childrens Hosp, Green Lane Paediat & Congenital Cardiac Serv, Auckland 1141, New Zealand

[2] Starship Childrens Hosp, Dept Paediat, Auckland 1141, New Zealand

[3] Auckland City Hosp, Cardiac Inherited Dis Grp, Auckland, New Zealand

[4] Univ Auckland, Dept Mol Med, Fac Med & hlth Sci, Auckland 1, New Zealand

[5] Univ Auckland, Dept Obstet & Gynaecol, Fac Med & hlth Sci, Auckland 1, New Zealand

[6] Christchurch Publ Hosp, Dept Paediat, Christchurch, New Zealand

[7] Liverpool Hosp, Dept Cardiol, Liverpool, Merseyside, England

[8] Univ Wales Swansea, Sch Med, Mol Neurosci Grp, Swansea, W Glam, Wales

来源：

PEDIATRICS | 2007年 / 119卷 / 05期

关键词：

fever; seizures; ventricular tachycardia; cardiac channelopathies; Brugada syndrome;

D O I：

10.1542/peds.2006-2628

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Fever can precipitate ventricular tachycardia in adults with Brugada syndrome, but such a link has not been reported in children. A 21-month-old white girl presented repeatedly with decreased conscious level and seizures during fever. During a typical episode, rapid ventricular tachycardia was documented. The resting 12-lead electrocardiogram revealed a Brugada electrocardiogram signature. Resting electrocardiograms of the asymptomatic brother and mother were normal, but fever in the mother and pharmacologic stress with ajmaline in the brother revealed Brugada electrocardiogram features. Genetic testing revealed an SCN5A mutation in the affected family members.

引用

页码：E1206 / E1211

页数：6

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