[Bradycardia as an epileptic manifestation in temporal epilepsy: report of a case].
We describe a patient who had cardiac arrhythmia as epileptic manifestation. In a 34-year-old woman who had many episodes of loss of consciousness, the simultaneous ECG and video-EEG monitoring recorded bradycardia with a short episode of asystole (4 seconds) and left temporal rhythmic theta activity on EEG. MRI showed a small mass lesion in the left parahippocampal gyrus. Alterations in cardiac rhythm have been reported in epileptic seizures and tachycardia is the most common finding associated with them; bradyarrhythmia during seizures was uncommon. Many interconnections among insular cortex, limbic system and hypothalamus, may be responsible for vegetative manifestations in temporal lobe epilepsy.
Jorge
C L
CL
Departamento de Neurologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil. carmenlj@uol.com.br
Valério
R M
RM
Yacubian
E M
EM
D000328:Adult; D001919:Bradycardia / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011859:Radiography; D013702:Temporal Lobe / Q000000981:diagnostic imaging