Cardiac asystole during a temporal lobe seizure.
The association between temporal lobe seizures and cardiac arrhythmias has been anecdotally reported in the literature. Ictal bradycardia and cardiac asystole are rare, and maybe underestimated. The physiological mechanism is poorly understood. We report a patient with left temporal lobe seizures who developed ictal bradycardia and cardiac asystole during a complex partial seizure and required a subsequent placement of a pacemaker.
Carvalho
Karen S
KS
Department of Neurology, Indiana University School of Medicine, 550 University Boulevard, UH 1711, Indianapolis, IN 46202-5250, USA. Kcarvalh@iupui.edu
Salanova
Vicenta
V
Markand
Omkar N
ON
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001284:Atrophy / Q000473:pathology; D002220:Carbamazepine / Q000627:therapeutic use; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000188:drug therapy; D006323:Heart Arrest / Q000150:complications*; D006624:Hippocampus / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012720:Severity of Illness Index; D013997:Time Factors
D000927:Anticonvulsants; D002220:Carbamazepine