Cardiac asystole masquerading as temporal lobe epilepsy

David M. Ficker, Gregory D Cascino, Ian P. Clements

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Episodic behavior associated with impairment of consciousness is a protean clinical manifestation that may suggest a wide range of medical or neurologic disorders. We describe a patient whose symptoms of an epigastric 'aura' followed by loss of consciousness suggested temporal lobe epilepsy. The episodic behavior was refractory to antiepileptic drug therapy. Prolonged video-electroencephalographic monitoring confirmed that the clinical events were cardiogenic related to asystole. Antiepileptic drug therapy was discontinued, and a cardiac pacemaker was inserted. The clinical patterns that distinguish syncope from seizures and the importance of prolonged videoelectroencephalographic monitoring are discussed.

Original languageEnglish (US)
Pages (from-to)784-786
Number of pages3
JournalMayo Clinic Proceedings
Volume73
Issue number8
StatePublished - 1998
Externally publishedYes

Fingerprint

Temporal Lobe Epilepsy
Heart Arrest
Anticonvulsants
Drug Therapy
Unconsciousness
Syncope
Nervous System Diseases
Consciousness
Epilepsy
Seizures

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cardiac asystole masquerading as temporal lobe epilepsy. / Ficker, David M.; Cascino, Gregory D; Clements, Ian P.

In: Mayo Clinic Proceedings, Vol. 73, No. 8, 1998, p. 784-786.

Research output: Contribution to journalArticle

Ficker, DM, Cascino, GD & Clements, IP 1998, 'Cardiac asystole masquerading as temporal lobe epilepsy', Mayo Clinic Proceedings, vol. 73, no. 8, pp. 784-786.
Ficker, David M. ; Cascino, Gregory D ; Clements, Ian P. / Cardiac asystole masquerading as temporal lobe epilepsy. In: Mayo Clinic Proceedings. 1998 ; Vol. 73, No. 8. pp. 784-786.
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