[Bradycardia: an unrecognized complication of some epileptic crises].
A 36-year-old man, treated for epilepsy since early childhood, was hospitalized for nocturnal paroxysmal disorders. The EEG-EKG-video monitoring revealed complex partial seizures with bradycardia secondary to a sino-auricular block. The occurrence of autonomic disturbances during seizures is well known, mostly described in temporal epilepsy. Ictal bradycardia, with asystole, has been unfrequently reported, while tachycardia appears more common. A systematic investigation of cardiac data synchronized with EEG recordings, especially in case of aspecific fainting, could give a more accurate diagnosis and treatment, and so reducing sudden unexplained death in epileptic patients.
Centre Neurologique William Lennox, Ottignies-LLN, Belgique.
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F
Saussu
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K
van Rijckevorsel
T
T
de Barsy
D000328:Adult; D001919:Bradycardia / Q000209:etiology* / Q000503:physiopathology; D002940:Circadian Rhythm; D004562:Electrocardiography; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D008297:Male; D012890:Sleep; D014741:Video Recording
La bradycardie: une complication méconnue de certaines crises épileptiques.