Korean Circulation Journal

  • 제42권5호
  • /
  • Pages.349-351
  • /
  • 2012
  • /
  • 1738-5520(pISSN)
  • /
  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
권호 표지
DOI QR코드

DOI QR Code

Recurrent Syncope Triggered by Temporal Lobe Epilepsy: Ictal Bradycardia Syndrome

  • Kang, Do-Yoon (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Oh, Il-Young (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Lee, So-Ryoung (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Choe, Won-Seok (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Yoon, Jung-Han (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Lee, Sang-Kun (Department of Neurology, Seoul National University College of Medicine) ;
  • Choi, Eue-Keun (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Oh, Se-Il (Department of Internal Medicine, Seoul National University College of Medicine)
  • 발행 : 2012.05.31
⟨ 이전 논문 다음 논문 ⟩

초록

Ictal asystole is potentially lethal, and known to originate from the involvement of limbic autonomic regions. Appropriate treatment must include an antiepileptic drug and the implantation of a pacemaker. We report the case of a 54-year-old male with recurrent syncope secondary to ictal asystole triggered by temporal lobe epilepsy. This was confirmed by combined Holter and video-electroencephalogram monitoring.

키워드

참고문헌

  1. Brignole M, Alboni P, Benditt DG, et al. Guidelines on management (diagnosis and treatment) of syncope-update 2004: executive summary. Eur Heart J 2004;25:2054-72. https://doi.org/10.1016/j.ehj.2004.09.004
  2. Reeves AL, Nollet KE, Klass DW, Sharbrough FW, So EL. The ictal bradycardia syndrome. Epilepsia 1996;37:983-7. https://doi.org/10.1111/j.1528-1157.1996.tb00536.x
  3. Britton JW, Ghearing GR, Benarroch EE, Cascino GD. The ictal bradycardia syndrome: localization and lateralization. Epilepsia 2006;47: 737-44. https://doi.org/10.1111/j.1528-1167.2006.00509.x
  4. Blumhardt LD, Smith PE, Owen L. Electrocardiographic accompaniments of temporal lobe epileptic seizures. Lancet 1986;1:1051-6.
  5. Opherk C, Coromilas J, Hirsch LJ. Heart rate and EKG changes in 102 seizures: analysis of influencing factors. Epilepsy Res 2002;52:117-27. https://doi.org/10.1016/S0920-1211(02)00215-2
  6. Frysinger RC, Harper RM. Cardiac and respiratory correlations with unit discharge in human amygdala and hippocampus. Electroencephalogr Clin Neurophysiol 1989;72:463-70. https://doi.org/10.1016/0013-4694(89)90222-8
  7. Freeman R. Cardiovascular manifestations of autonomic epilepsy. Clin Auton Res 2006;16:12-7. https://doi.org/10.1007/s10286-006-0278-y
  8. Rugg-Gunn FJ, Simister RJ, Squirrell M, Holdright DR, Duncan JS. Cardiac arrhythmias in focal epilepsy: a prospective long-term study. Lancet 2004;364:2212-9. https://doi.org/10.1016/S0140-6736(04)17594-6
  9. Park KH, Her SH, Lee JM, et al. Brain Tumor is a rare cause of both bradycardia and seizure. Korean Circ J 2007;37:449-52. https://doi.org/10.4070/kcj.2007.37.9.449
  10. Kim JS, Ryu JC, Joo SB, et al. Usefulness of head-up tilt test in adults with syncope or presyncope of unexplained origin. Korean Circ J 1996; 26:855-64. https://doi.org/10.4070/kcj.1996.26.4.855

피인용 문헌

  1. Bradycardia and syncope as sole manifestations of a cranial lesion: a case report vol.14, pp.1, 2012, https://doi.org/10.1186/s13256-020-2345-8