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Can Seizure Occur In Patients With Bicuspid Aortic Valve And Aortic Stenosis?
Question: A relatively healthy patient is a 61 year old male with managed high blood pressure and managed type 2 diabetes and cholesterol, experienced a seizure on 7/18 for the first time.
After being admitted to the hospital he was diagnosed with being born with a bicuspid valve and with aortic stenosis and aortic valve replacement surgery was recommended. MRI of the brain was performed and was clear.
The main concern is, was the seizure related to the aortic stenosis or was it a standalone separate occurrence perhaps due to another condition such as stress?
Thank you
After being admitted to the hospital he was diagnosed with being born with a bicuspid valve and with aortic stenosis and aortic valve replacement surgery was recommended. MRI of the brain was performed and was clear.
The main concern is, was the seizure related to the aortic stenosis or was it a standalone separate occurrence perhaps due to another condition such as stress?
Thank you
Brief Answer:
Should undergo full neurological evaluation
Detailed Answer:
Dear Sir,
Syncope can occur in patients with bicuspid aortic valve and aortic stenosis. Nut usually seizures are not common in this condition. You may need to undergo stress test, to find out if the symptoms are related to the aortic stenosis. But you will need full neurological evaluation to rule out neurological cause, such as epilepsy.
Sometimes seizures can be caused by anxiety, but very rare.
Hope I could help you
Wishing you good health
In case of further questions don't hesitate to ask
Regards
Should undergo full neurological evaluation
Detailed Answer:
Dear Sir,
Syncope can occur in patients with bicuspid aortic valve and aortic stenosis. Nut usually seizures are not common in this condition. You may need to undergo stress test, to find out if the symptoms are related to the aortic stenosis. But you will need full neurological evaluation to rule out neurological cause, such as epilepsy.
Sometimes seizures can be caused by anxiety, but very rare.
Hope I could help you
Wishing you good health
In case of further questions don't hesitate to ask
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. Lilit Baghdasaryan,
Thank you for your response, full neurological evaluation has been performed, and I met with the neurologist, he said there are no signs of any neurological condition that could have caused the seizure.
The patient has been taking Tramadol for back pain for two years with no symptoms, doctors stopped this medications, since seizures is one of the side effects.
I understand now and agree that performing the stress test will help identify potential symptoms related to the aortic stenosis.
Doctors never mentioned syncope instead of the seizure, perhaps since the patient wet the bed and clenched his teeth during the episode. From my understanding if the aortic stenosis is critical, syncope would be occurring periodically and not just a one time occurrence.
Please advise, thank you
Thank you for your response, full neurological evaluation has been performed, and I met with the neurologist, he said there are no signs of any neurological condition that could have caused the seizure.
The patient has been taking Tramadol for back pain for two years with no symptoms, doctors stopped this medications, since seizures is one of the side effects.
I understand now and agree that performing the stress test will help identify potential symptoms related to the aortic stenosis.
Doctors never mentioned syncope instead of the seizure, perhaps since the patient wet the bed and clenched his teeth during the episode. From my understanding if the aortic stenosis is critical, syncope would be occurring periodically and not just a one time occurrence.
Please advise, thank you
Brief Answer:
Welcome back
Detailed Answer:
I will give you some ideas
1. Seizures are not common for cardiac disorders, usually in our case we have just syncope. Before cardiac syncope patients usually remember having palpitations, cold sweating. Seizures are very rare in cardiology, sometimes, but not often, some life-threatening arrhythmias, such as ventricular tachycardia or ventricular fibrillation can cause seizures.
2. In case of neurological seizure, patients usually don't remember how they fainted.
3. To rule out epilepsy, EEG with deprivation usually is done
4. Also panic attack rarely can cause such symptoms
5. If they rule out every other condition, then we can think about a side effect of tramadol.
Regards,
Welcome back
Detailed Answer:
I will give you some ideas
1. Seizures are not common for cardiac disorders, usually in our case we have just syncope. Before cardiac syncope patients usually remember having palpitations, cold sweating. Seizures are very rare in cardiology, sometimes, but not often, some life-threatening arrhythmias, such as ventricular tachycardia or ventricular fibrillation can cause seizures.
2. In case of neurological seizure, patients usually don't remember how they fainted.
3. To rule out epilepsy, EEG with deprivation usually is done
4. Also panic attack rarely can cause such symptoms
5. If they rule out every other condition, then we can think about a side effect of tramadol.
Regards,
Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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