Gilchrist J M
Neurology. 1985 Oct;35(10):1503-6. doi: 10.1212/wnl.35.10.1503.
We studied a young man with presumably idiopathic seizures that were refractory to phenytoin therapy. Sick sinus syndrome was found after an episode of unconsciousness, but seizures continued despite the insertion of a demand ventricular pacemaker. Evaluation revealed a left temporal seizure focus, and combined EEG and ECG monitoring during a seizure revealed a left temporal paroxysmal discharge and an ictal cardiac arrhythmia. Detailed EEG and cardiac evaluation is necessary for all patients with "idiopathic" seizures.
我们研究了一名年轻男性，其可能患有特发性癫痫，对苯妥英钠治疗无效。在一次意识丧失发作后发现了病态窦房结综合征，但尽管植入了按需心室起搏器，癫痫仍持续发作。评估发现左侧颞叶存在癫痫病灶，在一次癫痫发作期间进行的脑电图和心电图联合监测显示左侧颞叶阵发性放电和发作期心律失常。对于所有患有“特发性”癫痫的患者，进行详细的脑电图和心脏评估是必要的。
