ICTAL BRADYCARDIA WITH ASYSTOLE IN PATIENTS WITH EPILEPSY – A CASE REPORT
Lada Bradić, Tea Šimonček, Blanka Glavaš Konja, Marina Šegović, Martina Lovrić Benčić
Epileptic seizures, particularly of frontotemporal origin, may cause central autonomic regulation disorder. Resulting cardiorespiratory and neurologic dysfunction can result in syncope and sudden unexpected death in epilepsy. We present two patients with temporal epilepsy and documented bradycardia/asystole during epileptic seizures with asystolic pauses lasting up to 25 seconds. Considering clinical implications, increased awareness and timely detection of concomitant arrhythmias is essential, since cardiac pacemaker implantation in case of asystole can prevent cardiogenic component of syncope, reduce risk of sudden death, falls and injuries in patients refractory to antiepileptics.