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Review
. 2022 Jul-Aug:73:76-78.
doi: 10.1016/j.jelectrocard.2022.06.001. Epub 2022 Jun 10.

Epilepsy and syncope - A case report and narrative review of arrhythmias connected to temporal lobe epilepsy

Matteo Bianco  1 , Susanna Breviario  2 , Thomas Fraccalini  3 , Roberto Ferri  4 , Carloalberto Biolè  5 , Paola Destefains  5 , Gianpaolo Varalda  5 , Adriana Boccuzzi  3 , Alessandra Chinaglia  5
Affiliations
Review

Epilepsy and syncope - A case report and narrative review of arrhythmias connected to temporal lobe epilepsy

Matteo Bianco et al. J Electrocardiol. 2022 Jul-Aug.

Abstract

We present the case of a 28-years-old male presenting to the Emergency Department for relapsing episodes of "déjà vu" and syncope. After a diagnostic workup by a multidisciplinary team, the simultaneous EEG and ECG monitoring showed an asystole associated with EEG anomalies in right fronto-temporal region of the brain. The brain MRI revealed an ischemic lesion concordant with EEG anomalies. In the suspicion of an ictal asystole, we decided not to implant a permanent pacemaker as the first line therapy but started a targeted anti-epileptic therapy. No more syncopal episodes nor dysrhythmias occurred during recovery and almost two years follow-up.

Keywords: Emergency department; Ictal epilepsy; Loop recorder; Syncope.

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Conflict of interest statement

Declaration of Competing Interest None.