Devinsky O, Pacia S, Tatambhotla G
Department of Neurology, Hospital for Joint Diseases/NYU Medical Center, New York 10003, USA.
Neurology. 1997 Jun;48(6):1712-4. doi: 10.1212/wnl.48.6.1712.
Bradyarrhythmias associated with partial seizures are uncommon, with most reported patients having temporal lobe seizure foci on scalp EEG recordings. We report a patient with bradycardia and sinus arrest during a complex partial seizure documented during bilateral subdural EEG and EEG and simultaneous video and EEG recordings. The seizure began in the left temporal lobe and spread to the right temporal region, with bradycardia occurring 55 seconds after ictal onset and asystole after 60 seconds.
与部分性癫痫相关的缓慢性心律失常并不常见,大多数报告的患者在头皮脑电图记录上有颞叶癫痫病灶。我们报告了一名患者,在双侧硬膜下脑电图、脑电图以及同步视频和脑电图记录过程中记录到复杂部分性癫痫发作时出现心动过缓和窦性停搏。癫痫发作始于左颞叶并扩散至右颞叶区域,发作开始55秒后出现心动过缓,60秒后出现心搏停止。