Self-limiting symptomatic peri-ictal bradyarryhthmia due to junctional AV rhythm
Department of Neurology,India
1Department of NIIR, NIMHANS,India
2Department of Cardiology, SJIC, Bangalore, Karnataka, India
Address for correspondence:
Dr. Sanjib Sinha
National Institute of Mental Health and Neurosciences
Hosur Road, Bangalore, Karnataka
India
sanjib_sinha2004@yahoo.co.in
Journal of Neurosciences in Rural Practice
Disclaimer:
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.
Abstract
ABSTRACT
We report an elderly man with chronic uncontrolled localization.related epilepsy on three AEDs, who developed in.hospital symptomatic bradyarrythmia due to junctional atrio-ventricular (AV) rhythm after an episode of generalized seizure during his hospital stay. On further evaluation, the cardiac enzymes were normal and 2D.echocardiogram showed mild left ventricular hypertrophy. Patient recovered from the same with supportive treatment within few hours. We emphasize on importance of prompt recognition of this event and its implication including one of the mechanism for sudden unexplained death in epilepsy.
Keywords
Bradyarrythmia
epilepsy
sudden unexplained death in epilepsy
Conflict of Interest
None
References
- Neurology. 1998;51:1270-4.Population-based study of the incidence of sudden unexplained death in epilepsy.
- [Google Scholar]
- Epilepsy Res. 2005;65:101-15.Sudden unexpected death in epilepsy: Evidence-based analysis of incidence and risk factors.
- [Google Scholar]
- Arch Neurol. 1986;43:194-6.Sudden unexpected death of epileptic patient due to cardiac arrhythmia after seizure.
- [Google Scholar]
- Epilepsia. 2010;51:916-20.Ictal hypoventilation contributes to cardiac arrhythmia and SUDEP: Report on two deaths in video-EEG-monitored patients.
- [Google Scholar]
- Epilepsia. 1994;35:199-204.Interictal autonomic nervous systems function in patients with epilepsy.
- [Google Scholar]
- Epilepsy Res. 2006;72:49-56.Cardiac autonomic dysfunction in chronic refractory epilepsy.
- [Google Scholar]
- Epilepsia. 1997;38:S6-8.Sudden unexpected death in epilepsy: Terminology and definitions.
- [Google Scholar]
- Presse Med. 2009;38:905-10.Excess mortality and sudden unexpected death in epilepsy.
- [Google Scholar]
- Epilepsia. 1997;38:41-2. Suppl 11Recording respiratory parameters in patients with epilepsy.
- [Google Scholar]
- Europace. 2001;3:247-52.Symptomatic postictal cardiac asystole in a young patient with partial seizures.
- [Google Scholar]
- Neurology. 2007;69:434-41.Videoelectrographic and clinical features in patients with ictal asystole.
- [Google Scholar]
- (3 rd ed). In: editors Oxford: Oxford University Press; 1992. p. 55-77.Central nervous control of the cardiovascular system.Autonomic failure.
- [Google Scholar]
- Epilepsy Res. 2002;52:117-27.Heart rate and EKG changes in 102 seizures: Analysis of influencing factors.
- [Google Scholar]
- Seizure. 2012;21:643-5.Prolonged atrial fibrillation following generalized tonic-clonic seizures.
- [Google Scholar]
- Arch Neurol. 2012;69:1197-9.Atrial fibrillation associated with epileptic seizures.
- [Google Scholar]