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Case Reports
. 2004 Dec;45(12):1640-4.
doi: 10.1111/j.0013-9580.2004.34403.x.

High-grade atrioventricular block triggered by spontaneous and stimulation-induced epileptic activity in the left temporal lobe

Dirk-Matthias Altenmüller  1 , Manfred Zehender, Andreas Schulze-Bonhage
Affiliations
Case Reports

High-grade atrioventricular block triggered by spontaneous and stimulation-induced epileptic activity in the left temporal lobe

Dirk-Matthias Altenmüller et al. Epilepsia. 2004 Dec.

Abstract

Cardiac bradyarrhythmias may play a pivotal role in the pathophysiology of sudden unexpected death in epilepsy (SUDEP). We describe a patient with left temporal lobe epilepsy in whom high-grade atrioventricular conduction blocks were triggered by both spontaneous and stimulation-induced epileptic activity in the left temporal lobe. Electrophysiological data obtained by surface and intracranial electrodes point to a cerebral cardioarrhythmogenesis in the left amygdala and anterior hippocampus.

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