# Exceptional Seizure-Like Presentation of Torsades De Pointes

## TL;DR

A 40-year-old man had a seizure-like episode caused by a rare heart rhythm disorder, highlighting the need to consider cardiac issues in unusual seizure cases.

## Contribution

This case highlights the rare presentation of torsades de pointes as a seizure-like event and emphasizes the importance of cardiac evaluation.

## Key findings

- The patient's seizure-like episode was diagnosed as torsades de pointes following an R-on-T phenomenon on ECG.
- Successful treatment involved antiarrhythmics and coronary stenting for underlying artery stenosis.
- The case emphasizes the need to consider cardiac arrhythmias in atypical seizure presentations.

## Abstract

We present a rare case of a 40-year-old male who experienced a seizure-like episode, later diagnosed as torsades de pointes (TDP), following an R-on-T phenomenon feature on ECG. This case underscores the importance of considering cardiac arrhythmias in the differential diagnosis of atypical seizure presentations. The patient underwent successful treatment with antiarrhythmics and coronary stenting for underlying coronary artery stenosis, emphasizing a comprehensive approach to managing such complex cases.