Convulsive syncope following placement of sphenoidal electrodes.

Abstract:

:Two cases of convulsive syncope following the insertion of sphenoidal electrodes are reported. The episodes occurred shortly after an uneventful insertion of the needle. Both patients exhibited behavioral arrest with loss of muscle tone, followed by flexor posturing, jerking of the extremities, then followed by what appeared to be a panic attack. Episodes were clinically distinct from the patients' typical spells and were initially interpreted as representing psychogenic events. EEGs during the episodes showed diffuse slowing followed by generalized suppression of rhythms. Simultaneous EKG showed bradycardia followed by brief asystole and then resumption of normal heart rhythms in both cases. Vagally mediated cardioinhibitory reactions induced by fear, pain and possibly stimulation of branches of the trigeminal nerve in the face represent an uncommon but potentially serious complication of placement of sphenoidal electrodes.

journal_name

Brain Dev

journal_title

Brain & development

authors

DeToledo JC

doi

10.1016/s0387-7604(99)00006-6

keywords:

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

213-5

issue

3

eissn

0387-7604

issn

1872-7131

pii

S0387760499000066

journal_volume

21

pub_type

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