Etgen Thorleif, Neuberger Hans-Ruprecht
Klinik für Neurologie, Klinikum Traunstein, Cuno-Niggl-Str. 3, 83278, Traunstein, Deutschland.
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität München, München, Deutschland.
Inn Med (Heidelb). 2022 Oct;63(10):1085-1091. doi: 10.1007/s00108-022-01374-0. Epub 2022 Jul 7.
A 59-year-old male patient was admitted for possible reflex syncope following loss of consciousness during urination. During the visit, a malaise with unconsciousness occurred. Holter ECG at that time showed increasing sinus bradycardia with transition to a junctional escape rhythm (30/min); in addition, there were several sinus pauses > 2.0 s (the longest almost 10 s). This malaise occurred again during routine EEG, when a focal epileptic seizure on the right fronto-temporal with sinus bradycardia after 15 s was documented. Thus, the diagnosis of ictal asystole was made, anticonvulsant therapy was started, and a cardiac pacemaker was implanted.
