Visually induced syncope: A nonepileptic manifestation of visual sensitivity?
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Visual sensitivity, defined as the “susceptibility toward experiencing seizures, which are triggered by the physical characteristics of visual stimuli and not by their perceptual properties,”1 can manifest in the context of various forms of generalized or focal, idiopathic or symptomatic epilepsies.2 We report a patient with no family or personal history of epilepsy who presented episodes of loss of consciousness exclusively triggered by visual stimuli unrelated to their emotional content, in which we have documented EEG-EKG characteristics suggestive of a neurally mediated syncope.
Case report.
A 9-year-old patient was referred for possible photosensitive epilepsy. Pre- and perinatal history was unremarkable. In the prior year, the child had five episodes while playing video games or watching TV, characterized by initial dizziness and paleness, followed by sudden loss of consciousness. The episodes were accompanied by a diffuse increase in muscle tone at times followed by clonic movements of the upper limbs, lasting approximately 2 minutes. Full recovery after the episodes promptly ensued within 1 to 2 minutes. Prior to these …
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