title: Cardiac Asystole Triggered by Temporal Lobe Epilepsy with Amygdala Enlargement.
abstract: A 25-year-old previously healthy man was hospitalized for syncope. While standing, he suddenly lost consciousness, followed by a generalized tonic clonic seizure. An electrocardiogram demonstrated asystole. No cardiac abnormalities were detected on the echocardiogram, cardiac magnetic resonance imaging (MRI), positron emission tomography, or a coronary angiogram. An electrophysiological study showed normal sinus node and atrioventricular node function. An electroencephalogram revealed small spike waves in the fronto-temporal region. Brain MRI demonstrated a left-sided amygdala enlargement. To the best of our knowledge, this is the first case of temporal lobe epilepsy with an amygdala enlargement that induced cardiac asystole.
authors.affiliation: Department of Cardiology, Japan Self Defense Forces Central Hospital, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Arakawa
authors.forename: Tomoo
authors.initials: T
authors.lastname: Nagai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takasaki
authors.forename: Hidenori
authors.initials: H
authors.lastname: Sugano
authors.forename: Akira
authors.initials: A
authors.lastname: Hamabe
authors.forename: Mai
authors.initials: M
authors.lastname: Tahara
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Mori
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Takase
authors.forename: Youdou
authors.initials: Y
authors.lastname: Gatate
authors.forename: Naohiko
authors.initials: N
authors.lastname: Togashi
authors.forename: Shunichi
authors.initials: S
authors.lastname: Takiguchi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nakaya
authors.forename: Norio
authors.initials: N
authors.lastname: Ishigami
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Tabata
authors.forename: Kouji
authors.initials: K
authors.lastname: Fukushima
authors.forename: Shuichi
authors.initials: S
authors.lastname: Katsushika
mesh_terms: D000328:Adult; D000679:Amygdala / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004562:Electrocardiography; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000000981:diagnostic imaging; D006323:Heart Arrest / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D049268:Positron-Emission Tomography; D013702:Temporal Lobe