Korean Circ J.  2012 May;42(5):349-351. 10.4070/kcj.2012.42.5.349.

Recurrent Syncope Triggered by Temporal Lobe Epilepsy: Ictal Bradycardia Syndrome

• Kang DY
• Oh IY
• Lee SR
• Choe WS
• Yoon JH
• Lee SK
• Choi EK
• Oh S

• KMID: 2028765
• DOI: http://doi.org/10.4070/kcj.2012.42.5.349

Abstract

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.

Keyword

Bradycardia; Syncope; Electrocardiography

MeSH Terms

Bradycardia
Electrocardiography
Epilepsy, Temporal Lobe
Heart Arrest
Humans
Male
Middle Aged
Syncope
Temporal Lobe

Figure

• 

  Fig. 1 Electroencephalogram and electrocardiogram. Electroencephalogram showed rhythmic theta activity and sharp waves in the T3 area (arrow) at first, and then generalized rhythmic theta activity. Asystole started 22 seconds after seizure attack, as shown in the electrocardiogram channel (arrow head).

• 

  Fig. 2 Holter recording. Holter recording showed three episodes of a long sinus pause of 40 seconds, followed by junctional escape rhythm, and then sinus tachycardia.

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