Pause for thought? Syncope and sinus arrest as the presenting feature of temporal lobe epilepsy
Wijesurendra, R.S.; Carey, M.; Butterworth, R.J.; Khiani, R.
Acute Medicine 13(2): 65-67
2014
ISSN/ISBN: 1747-4892 PMID: 24940568 Document Number: 13977
Some forms of focal epilepsy, including temporal lobe epilepsy, are rarely associated with ictal bradycardia and sinus node arrest. We report a case of a previously healthy man presenting with syncope in whom telemetry revealed sinus arrest. Initial treatment was with permanent pacemaker implantation and it was only following a subsequent grand mal seizure that other symptoms suggestive of temporal lobe epilepsy were documented. Anti-epileptic medication was subsequently commenced with resolution of all symptoms. There are few previously reported cases of syncope and documented sinus node arrest as the presenting feature of temporal lobe epilepsy.
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