A 59-year-old female patient with a 6-months history of syncopal fits underwent ventricular pace-maker implant after loop-recording of an asystolic event. After the pacemaker implant the syncopal attacks continued although the pacemaker was documented to function appropriately, so that the diagnosis of epileptic seizures with cardiac asystole was made. The seizures are characterized by initial right cranial spike pain, nausea and vomiting feeling and followed by loss of consciousness for a few seconds. The interictal EEG showed right temporal slow waves associated with spikes and waves. The MRI showed poroencephalic right temporal lesions. When she was 55-year-old the patient had subarachnoid haemorrhage from right carotid aneurysm rupture. She underwent neurosurgical treatment of clipping of aneurysm, but developed hydrocephalus operated on with right ventricular-peritoneal derivation, then removed because of shunt infection and subsequently replaced with left ventricular-peritoneal derivation, Although we didn't perform combined EEG/ECG telemetry we think it is sometimes necessary to establish the correct diagnosis.
|Translated title of the contribution||Epileptic seizures with cardiac asystole in a patient with previous subarachnoid hemorrhage from right carotid aneurysm rupture complicated by hydrocephalus|
|Number of pages||3|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - May 2008|
ASJC Scopus subject areas
- Clinical Neurology