Bradycardia from flash stimulation.

This case study documents a patient who experienced bradycardia brought on by flash stimulation during a routine outpatient EEG recording. The patient had known photosensitive seizures in the past. During this routine EEG, the patient's heart rate dropped to about 12 beats per minute with the EEG displaying slow-delta-frequency waves with no epileptiform spikes or sharp waves. During immediate follow-up, in our emergency department, the patient had a brief asystolic event, followed by bradycardia. Cardiology examinations were normal. We propose that this response was a photic-triggered reflex vasovagal reaction.