Journal
EPILEPSIA
Volume 45, Issue 12, Pages 1640-1644Publisher
BLACKWELL PUBLISHING INC
DOI: 10.1111/j.0013-9580.2004.34403.x
Keywords
epilepsy; SUDEP; ictal cardiac arrhythmia; intracranial electrodes; cortical stimulation
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Cardiac bradyarrhythimas 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.
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