Late-onset periodic asystolia during vagus nerve stimulation.

Abstract:

:Cardiac changes may occasionally occur during vagus nerve stimulation (VNS) used in epileptic patients. As they can be potentially life-threatening, it is important to detect them, and this is why an intraoperative test is performed during the implantation. Few cases of asystole during this test have been described. Only one patient with late-onset bradyarrythmia caused by VNS has been reported. This patient had been implanted 2 years and 4 months before the episode. We present another case of late asystole in a patient whose VNS had been implanted 9 years before the arrhythmia onset. In our patient, each run of stimulation produced bradyarrhythmias and very often severe asystolia due to atrium-ventricular block.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Iriarte J,Urrestarazu E,Alegre M,Macías A,Gómez A,Amaro P,Artieda J,Viteri C

doi

10.1111/j.1528-1167.2008.01918.x

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

928-32

issue

4

eissn

0013-9580

issn

1528-1167

pii

EPI1918

journal_volume

50

pub_type

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