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1: Epilepsia. 2004 Dec;45(12):1640-4.Click here to read Links

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

Altenmüller DM, Zehender M, Schulze-Bonhage A.

Epilepsy Center, University of Freiburg, Freiburg, Germany. altenm@nz.ukl.uni-freiburg.de

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.

PMID: 15571524 [PubMed - indexed for MEDLINE]