[The ictal bradycardia syndrome: a case report and review of the literature].
Epilepsy is a rare cause of sinus node dysfunction which should be recognised. The authors report the case of a 55 year old woman with refractory epilepsy who had sinus arrest during her epileptic fits. After excluding a possible interaction by long-term Carbamazepine treatment, the diagnosis of the Ictal bradycardia syndrome was made in view of the simultaneous occurrence of severe bradycardia and epileptic activity recorded on electro-encephalography. Sudden death being more common in epilepsy, effective treatment of conductive cardiac abnormalities is essential. The refractory nature of the epileptic fits led to the implantation of a permanent pacemaker in this case.
Mechulan
A
A
Service de Médecine Interne, AP-HM, CHU Nord, Chemin des Bourrely, 13326 Marseille. certam74@hotmail.com
Rossi
P
P
Somma-Mauvais
H
H
Sbragia
P
P
Aissi
K
K
Granel
B
B
Bagnères
D
D
Demoux
A L
AL
Francès
Y
Y
D000927:Anticonvulsants / Q000627:therapeutic use; D001146:Arrhythmia, Sinus / Q000209:etiology*; D001919:Bradycardia / Q000209:etiology*; D002220:Carbamazepine / Q000627:therapeutic use; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013577:Syndrome
D000927:Anticonvulsants; D002220:Carbamazepine