Bradycardia, an epileptic ictal manifestation.
Two patients with recurrent paroxysmal cardio-vascular symptoms are described. The first, an adult, suffered from syncopal events which did not respond to carbamazepine treatment and had a normal interictal EEG and ECG. The second, a child, presented with attacks of cyanosis, apnoea, and non-responsiveness in clusters, with normal interictal examinations. In both patients, prolonged simultaneous EEG and ECG monitoring demonstrated ictal bradycardia accompanied by paroxysmal discharges in the left temporal area.
van Rijckevorsel
K
K
Centre Neurologique William Lennox, Allée de Clerlande, Ottignies-LLN, Belgium.
Saussu
F
F
de Barsy
T
T
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001919:Bradycardia / Q000188:drug therapy / Q000503:physiopathology*; D004562:Electrocardiography / Q000187:drug effects; D004569:Electroencephalography / Q000187:drug effects; D004827:Epilepsy / Q000188:drug therapy / Q000503:physiopathology*; D004833:Epilepsy, Temporal Lobe / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D007223:Infant; D008297:Male; D008991:Monitoring, Physiologic; D013575:Syncope / Q000188:drug therapy / Q000503:physiopathology; D013702:Temporal Lobe / Q000187:drug effects / Q000503:physiopathology; D014635:Valproic Acid / Q000627:therapeutic use
D000927:Anticonvulsants; D014635:Valproic Acid