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Bradycardia and syncope as manifestations of partial epilepsy.

Abstract：

:Although transient increases in heart rate typically occur, bradycardia has infrequently been noted in association with partial seizures. Five patients with temporal lobe epilepsy are described in whom sinus bradyarrhythmias and syncope were prominent manifestations of seizure activity. Partial improvement occurred in one of two patients in whom a permanent pacemaker was implanted before a diagnosis of epilepsy was established. Treatment with phenytoin or carbamazepine resulted in nearly complete resolution of symptoms in all five patients. Because pacemaker implantation does not prevent recurrent symptoms, but anticonvulsant therapy does, this experience underscores the importance of considering the diagnosis of partial epilepsy in selected patients with sinus bradyarrhythmias and syncope.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Constantin L,Martins JB,Fincham RW,Dagli RD

doi

10.1016/0735-1097(90)90290-6

subject

Has Abstract

pub_date

1990-03-15 00:00:00

pages

900-5

issue

4

eissn

0735-1097

issn

1558-3597

pii

0735-1097(90)90290-6

journal_volume

15

pub_type

杂志文章

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