Acute or chronic autonomous cardiac symptoms like, ictal syncope, changes of heart-rate, shortening of QT intervals and other various electrocardiographic changes often accompany epileptic seizures. Cardiac changes occurring during epileptic seizures may cause sudden unexpected death in epilepsy. Patients that have clinical presentations mimicking repetitive stroke and electrocardiogram findings similar to myocardial infarction, should be investigated for epileptic seizure in differential diagnosis. In this case report, we emphasize the importance of the differential diagnosis of epileptic seizures for a patient that has electrocardiographic assessment of ST changes mimicking myocardial infarct hospitalized with an acute cerebrovascular event followed by unconsciousness and hemiplegia.

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