Wijesurendra R S, Carey M, Butterworth R J, Khiani R
Department of Cardiology Milton Keynes NHS Foundation Trust, Standing Way, Eaglestone, Milton Keynes.
Department of Neurology Milton Keynes NHS Foundation Trust, Standing Way, Eaglestone, Milton Keynes.
Acute Med. 2014;13(2):65-7.
Some forms of focal epilepsy, including temporal lobe epilepsy, are rarely associated with ictal bradycardia and sinus node arrest. We report a case of a previously healthy man presenting with syncope in whom telemetry revealed sinus arrest. Initial treatment was with permanent pacemaker implantation and it was only following a subsequent grand mal seizure that other symptoms suggestive of temporal lobe epilepsy were documented. Anti-epileptic medication was subsequently commenced with resolution of all symptoms. There are few previously reported cases of syncope and documented sinus node arrest as the presenting feature of temporal lobe epilepsy.
某些形式的局灶性癫痫，包括颞叶癫痫，很少与发作性心动过缓和窦房结停搏相关。我们报告一例既往健康的男性患者，以晕厥就诊，遥测显示窦房结停搏。初始治疗为植入永久性起搏器，仅在随后发生大发作后，才记录到其他提示颞叶癫痫的症状。随后开始使用抗癫痫药物治疗，所有症状均得到缓解。以前很少有报道称晕厥和记录到的窦房结停搏是颞叶癫痫的首发特征。
