Recurrent syncope triggered by temporal lobe epilepsy: ictal bradycardia syndrome. 2012

Do-Yoon Kang, and Il-Young Oh, and So-Ryoung Lee, and Won-Seok Choe, and Jung-Han Yoon, and Sang-Kun Lee, and Eue-Keun Choi, and Seil Oh
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Ictal asystole is potentially lethal, and known to originate from the involvement of limbic autonomic regions. Appropriate treatment must include an antiepileptic drug and the implantation of a pacemaker. We report the case of a 54-year-old male with recurrent syncope secondary to ictal asystole triggered by temporal lobe epilepsy. This was confirmed by combined Holter and video-electroencephalogram monitoring.

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