PMC3573820_01
ECG on presentation with J-point elevation in V3-V6.
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F1
ECG performed within the first hour after the event revealed ST-segment abnormalities of V3-V6, with serum cardiac troponin I (cTnI) 0.01 (normal 0.00-0.40 ng/ml) and no symptoms of cardiac ischemia (fig. 1).
J-point normalizes as hemiparesis resolves. ECG progression from presentation (approximately 45 min after seizure), prior to transfer (approximately 90 min after seizure), arrival (approximately 120 min after event), and the next morning (approximately 16 h after seizure).
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PMC3573820_01_crn-0005-0006-g02.jpg
F2
Signs of unilateral hemiplegia resolved within fifteen hours of seizure coinciding with resolved J-point displacement primarily in leads V3-V6 consistent with Osborne waves (fig. 2).