Ictal bradycardia and asystole: an uncommon cause of syncope.
We report on two patients with recurrent syncope secondary to ictal bradyarrhythmias, triggered by partial epileptic seizures with atypical, stereotyped auras. Ictal bradyarrhythmias are potentially lethal, and likely originate from the involvement of limbic autonomic regions. The appropriate treatment is double-headed, including an antiepileptic drug and the implantation of a pacemaker.
Novy
Jan
J
Carruzzo
Alain
A
Pascale
Patrizio
P
Maeder-Ingvar
Malin
M
Genné
Daniel
D
Pruvot
Etienne
E
Despland
Paul-André
PA
Rossetti
Andrea O
AO
D000368:Aged; D001919:Bradycardia / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D004569:Electroencephalography / Q000379:methods; D006323:Heart Arrest / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology