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.