Why the study?
Does pacemaker implantation prevent asystole in a patient with ictal bradycardia syndrome?
Does pacemaker implantation prevent asystole in a patient with ictal bradycardia syndrome?
Pacemaker implantation successfully prevented asystole during subsequent epileptic seizures in a patient with ictal bradycardia syndrome.
Supports pacemaker use in ictal bradycardia; hypothesis-generating and requires prospective validation.
We report a case of a 56-year-old man affected by frontal lobe seizures who has developed bradycardia followed by asystole. The patient had a positive family history for epilepsy. In fact, the mother, brothers, and one sister had epilepsy. Furthermore, the patient's two brothers suddenly died of unspecified heart disease at the ages of 26 and 53, respectively. The patient also experienced syncope once or twice a year. Three similar epileptic seizures, without the recurrence of asystole, were registered after pacemaker implantation.
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Fava et al. (2015) studied this question.