High-grade Atrioventricular Block Triggered by Spontaneous and Stimulation-induced Epileptic Activity in the Left Temporal Lobe
Address correspondence and reprint requests to Dr. D.-M. Altenmüller at Sektion Prächirurgische Epilepsiediagnostik am Neurozentrum Freiburg, Breisacher Strasse 64, 79106 Freiburg, Germany. E-mail: [email protected]
Abstract
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.
