When do you consider pacing in arrhythmogenic epilepsy?   

I have seen only rare cases of it. They all had tonic-clonic seizures triggered by profound bradycardia (sinus as well as AV block). In turn, the bradyarrhythmia was triggered by EEG-documented temporal lobe absence seizures. They all resolved long-term with pacing. Regardl...

Agree with Dr. @Nazari on the need for pacing in these cases, but I have seen several cases of focal impaired awareness seizures (presumably temporal lobe onset), which have caused bradyarrhythmia and asystole, requiring a pacemaker. One recent memorable patient described a typical temporal lobe aur...