Intractable stokes adams attack with myriad of ventricular arrythmias masquerading acute myocarditis

Abstract

Convulsive syncope can be difficult to distinguish from seizures at times. Misdiagnosis can result in unnecessary, and usually unsuccessful, treatment with antiepileptic drugs. A detailed history taking and physical examination along with continuous cardiac monitoring can help in making the correct diagnosis. Our patient was eventually found to have viral myocarditis. More detailed studies for the role of noninvasive cardiac testing such as Cardiac MRI (CMR) and newer treatment modalities such as anti-thymocyte immunoglobulin are required for the management of Viral Myocarditis.