High-grade atrioventricular block triggered by spontaneous and stimulation-induced epileptic activity in the left temporal lobe

Epilepsia. 2004 Dec;45(12):1640-4. doi: 10.1111/j.0013-9580.2004.34403.x.

Abstract

Cardiac bradyarrhythmias may play a pivotal role in the pathophysiology of sudden unexpected death in epilepsy (SUDEP). We describe a patient with left temporal lobe epilepsy in whom high-grade atrioventricular conduction blocks were triggered by both spontaneous and stimulation-induced epileptic activity in the left temporal lobe. Electrophysiological data obtained by surface and intracranial electrodes point to a cerebral cardioarrhythmogenesis in the left amygdala and anterior hippocampus.

Publication types

  • Case Reports

MeSH terms

  • Amygdala / physiopathology
  • Electric Stimulation / adverse effects
  • Electric Stimulation / methods
  • Electrocardiography / methods
  • Electrocardiography / statistics & numerical data
  • Electrodes, Implanted
  • Electroencephalography / methods
  • Electroencephalography / statistics & numerical data*
  • Epilepsy, Temporal Lobe / complications*
  • Epilepsy, Temporal Lobe / diagnosis
  • Epilepsy, Temporal Lobe / etiology
  • Female
  • Heart Block / diagnosis
  • Heart Block / etiology*
  • Heart Block / physiopathology
  • Hippocampus / physiopathology
  • Humans
  • Middle Aged
  • Preoperative Care
  • Videotape Recording