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Syncope—Brain or Heart? A Case Report
Author(s) -
NILSSON HÅKAN,
FREITAG MICHAEL,
HINDFELT BENGT,
JOHANSSON BENGT W.,
ROSÉN INGMAR
Publication year - 1992
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1992.tb03085.x
Subject(s) - medicine , asystole , unconsciousness , syncope (phonology) , concomitant , cardiology , anesthesia
A 44‐year‐old man suffered from recurrent episodes of unconsciousness, without any other concomitant manifestations. After routine ivorkup, EEC and CT had proven nondiagnostic, prolonged Holter monitoring revealed a single episode of asystole, lasting 7.6 seconds. A pacemaker was inserted but did not abolish his episodic syncope. Subsequently, long‐lerm EEC recording revealed epileptiform activity with independent foci in both temporal Jobes. Antiepilepfic treatment relieved the patient of his symptoms. This case illustrates the intimate relationship between the heart and the brain that sometimes lies behind syncope.