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When do you consider pacing in arrhythmogenic epilepsy?

2 Answers
Mednet Member
Mednet Member
Cardiology · NorthShore University HealthSystem

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. Regardless of the un...

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Mednet Member
Mednet Member
Neurology · University of Rochester Medical Center

Agree with Dr. @Dr. First Last 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 ...

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