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Europace 2001 3(3):247-252; doi:10.1053/eupc.2001.0173
© 2001 by European Society of Cardiology
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CASE REPORT

Symptomatic postictal cardiac asystole in a young patient with partial seizures

M. Seeck1,2, O. Blanke1,2, P. Jallon1, F. Picard1 and S. Zaim3

1Department of Neurology, University Hospital of Geneva Switzerland; 2Laboratory of Presurgical Epilepsy Evaluation Program of the Neurological and Neurological Services of University Hospitals Lausanne and Geneva Switzerland; 3Division of Cardiology, University Hospital of Geneva Switzerland

This report describes a patient with complex partial seizures arising from the right temporal lobe who developed symptomatic sinus arrest following the end of his seizure activity. A ventricular pacemaker was implanted and was documented to function appropriately, preventing development of bradycardia associated symptoms during subsequent seizures. Possibly relevant cerebral structures are briefly discussed.

Key Words: Partial seizure, epilepsy, asystole, pacemaker, cardiac arrhythmias, temporal lobe epilepsy

Correspondence: Sina Zaim, M.D., Division de Cardiologie, Hôpital Cantonal, Rue Micheli-du-Crest 24, Geneva CH-1211, Switzerland. E-mail: szaimmd{at}hotmail.com

[1] Jallon P. Arrhythmogenic seizures. Epilepsia 1997; 38: S43–S47.[CrossRef][Web of Science]

[2] Blumhart LD, Smith PEM, Owen L. Electrographic accompaniments of temporal lobe epileptic seizures. Lancet 1986; 1: 1051–1055.[Web of Science][Medline]

[3] Locatelli ER, Varghese JP, Shuaib A, et al. Cardiac asystole and bradycardia as a manifestation of left temporal lobe complex partial seizure. Ann Intern Med 1999; 130: 581–583.[Free Full Text]

[4] Devinsky O, Pacia S, Tatambhotla G. Bradycardia and asystole induced by partial seizures: A case report and literature review. Neurology 1997; 48: 1712–1714.[Abstract/Free Full Text]

[5] Fincham RW, Shivapour ET, Leis AA, Martins JB. Ictal bradycardia with syncope: A case report. Neurology 1992; 42: 2222–2223.[Free Full Text]

[6] Constantin L, Martins JB, Fincham RW, et al. Bradycardia and syncope as manifestations of partial epilepsy. J Am Coll Cardiol 1990; 15: 900–905.[Abstract]

[7] Liedholm LJ and Gudjonsson O. Cardiac arrest due to partial epileptic seizures. Neurology 1992; 42: 824–829.[Abstract/Free Full Text]

[8] Reeves AL, Nollet KE, Klass DW, Sharbrough FW, So EL. The ictal bradycardia syndrome. Epilepsia 1996; 37: 983–987.[CrossRef][Web of Science][Medline]

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[12] Rugg-Gunn F, Duncan JS, Smith SJM. Epileptic cardiac asystole. J Neurol Neurosurg Psychiatry 2000; 68: 108–110.[Free Full Text]

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[14] Oppenheimer SM, Gelb A, Girvin JP, Hachinski VC. Cardiovascular effect of human insular cortex stimulation. Neurology 1992; 42: 1727–1732.[Abstract/Free Full Text]


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This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
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Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (3)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Seeck, M.
Right arrow Articles by Zaim, S.
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Right arrow Articles by Seeck, M.
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