title: The ictal bradycardia syndrome: A case report.
abstract: We report a case of a 56-year-old man affected by frontal lobe seizures who has developed bradycardia followed by asystole. The patient had a positive family history for epilepsy. In fact, the mother, brothers, and one sister had epilepsy. Furthermore, the patient's two brothers suddenly died of unspecified heart disease at the ages of 26 and 53, respectively. The patient also experienced syncope once or twice a year. Three similar epileptic seizures, without the recurrence of asystole, were registered after pacemaker implantation.
authors.affiliation: Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Fava
authors.affiliation: Department of Emergency Medicine, Pineta Grande Hospital, Castel Volturno, Caserta, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Del Gaudio
authors.affiliation: Department of Emergency Medicine, Pineta Grande Hospital, Castel Volturno, Caserta, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Volpe
authors.affiliation: Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Paolisso
authors.affiliation: Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Rizzo
keywords: Asystole; Epileptic seizure; Ictal bradycardia; Pacemaker; Syncope