The ictal bradycardia syndrome: a case report and review of the literature

Epilepsy is a rare cause of sinus node dysfunction which should be recognised. The authors report the case of a 55 year old woman with refractory epilepsy who had sinus arrest during her epileptic fits. After excluding a possible interaction by long-term Carbamazepine treatment, the diagnosis of the...

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Bibliographic Details
Published inArchives des maladies du coeur et des vaisseaux Vol. 100; no. 3; p. 221
Main Authors Mechulan, A, Rossi, P, Somma-Mauvais, H, Sbragia, P, Aissi, K, Granel, B, Bagnères, D, Demoux, A L, Francès, Y
Format Journal Article
LanguageFrench
Published France 01.03.2007
Subjects
Anticonvulsants - therapeutic use
Arrhythmia, Sinus - etiology
Bradycardia - etiology
Carbamazepine - therapeutic use
Echocardiography
Echocardiography, Transesophageal
Electroencephalography
Epilepsy - complications
Female
Humans
Middle Aged
Pacemaker, Artificial
Syndrome
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Summary:Epilepsy is a rare cause of sinus node dysfunction which should be recognised. The authors report the case of a 55 year old woman with refractory epilepsy who had sinus arrest during her epileptic fits. After excluding a possible interaction by long-term Carbamazepine treatment, the diagnosis of the Ictal bradycardia syndrome was made in view of the simultaneous occurrence of severe bradycardia and epileptic activity recorded on electro-encephalography. Sudden death being more common in epilepsy, effective treatment of conductive cardiac abnormalities is essential. The refractory nature of the epileptic fits led to the implantation of a permanent pacemaker in this case.
ISSN:0003-9683