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Cardiac Asystole and Bradycardia as a Manifestation of Left Temporal Lobe Complex Partial Seizure

Eduardo R. Locatelli, MD; Jacob P. Varghese, MD; Ashfaq Shuaib, MD; and Samuel J. Potolicchio, MD
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From George Washington University, Washington, D.C.


Ann Intern Med. 1999;130(7):581-583. doi:10.7326/0003-4819-130-7-199904060-00018
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This report describes three patients with asystole or bradycardia associated with complex partial seizures and reviews the relevant literature.

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Figure.
Electroencephalogram and electrocardiogram (ECG) from a patient with cardiac asystole (patient 2).

In the first 6 seconds of the electroencephalogram, epileptiform discharges are seen in the left temporal region. These changes are temporally related to the 9-second period of asystole noted in the electrocardiogram. Muscle artifact is seen over the right hemisphere.

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