Author + information
- Received January 30, 1989
- Revision received September 27, 1989
- Accepted October 4, 1989
- Published online March 15, 1990.
- Luis Constantin, MD, FACC∗,
- James B. Martins, MD,
- Richard W. Fincham, MD and
- Rajesh D. Dagli, MD
- ↵∗Address for reprints: Luis Constantin, MD, Cardiology Associates of the Lehigh Valley, 3340 Hamilton Boulevard, Allentown, Pennsylvania 18103.
Although transient increases in heart rate typically occur, bradycardia has infrequently been noted in association with partial seizures. Five patients with temporal lobe epilepsy are described in whom sinus bradyarrhythmias and syncope were prominent manifestations of seizure activity. Partial improvement occurred in one of two patients in whom a permanent pacemaker was implanted before a diagnosis of epilepsy was established. Treatment with phenytoin or carbamazepine resulted in nearly complete resolution of symptoms in all five patients.
Because pacemaker implantation does not prevent recurrent symptoms, but anticonvulsant therapy does, this experience underscores the importance of considering the diagnosis of partial epilepsy in selected patients with sinus bradyarrhythmias and syncope.
- Received January 30, 1989.
- Revision received September 27, 1989.
- Accepted October 4, 1989.