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High‐grade Atrioventricular Block Triggered by Spontaneous and Stimulation‐induced Epileptic Activity in the Left Temporal Lobe
Author(s) -
Altenmüller DirkMatthias,
Zehender Manfred,
SchulzeBonhage Andreas
Publication year - 2004
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.0013-9580.2004.34403.x
Subject(s) - stimulation , temporal lobe , epilepsy , neuroscience , medicine , atrioventricular block , psychology , anesthesia , cardiology
Summary: Cardiac bradyarrhythmias may play a pivotal role in the pathophysiology of sudden unexpected death in epilepsy (SUDEP). We describe a patient with left temporal lobe epilepsy in whom high‐grade atrioventricular conduction blocks were triggered by both spontaneous and stimulation‐induced epileptic activity in the left temporal lobe. Electrophysiological data obtained by surface and intracranial electrodes point to a cerebral cardioarrhythmogenesis in the left amygdala and anterior hippocampus.