title: Application of a vagal nerve stimulator in an epilepsy patient with cardiac pacemaker after post-ictal cardiac arrest.
abstract: In this case report we present a patient with temporal lobe epilepsy (TLE) showing partial complex seizures and secondary generalization, and treated with several antiepileptic drugs. After two consecutive seizures she had an episode of cardiac arrest followed by AV-block III which led to the implantation of a cardiac pacemaker. She subsequently received a vagal nerve stimulator because of poor response to epilepsy treatment. Combined treatment with two different electromagnetic stimulators raises the question of safety during surgery which is discussed.
authors.affiliation: Division of Neurology, Department of Clinical and Experimental Medicine, University Hospital, Linköping, Sweden. Rodrigo.caceres@lio.se
authors.forename: R
authors.initials: R
authors.lastname: Cáceres
authors.forename: J
authors.initials: J
authors.lastname: Richter
authors.forename: K
authors.initials: K
authors.lastname: Säfström
authors.forename: A-M
authors.initials: AM
authors.lastname: Landtblom
mesh_terms: D001145:Arrhythmias, Cardiac / Q000628:therapy*; D054537:Atrioventricular Block / Q000209:etiology; D003131:Combined Modality Therapy; D004833:Epilepsy, Temporal Lobe / Q000150:complications / Q000628:therapy*; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D055536:Vagus Nerve Stimulation