High-grade Atrioventricular Block Triggered by Spontaneous and Stimulation-induced Epileptic Activity in the Left Temporal Lobe
Version of Record online: 29 NOV 2004
Volume 45, Issue 12, pages 1640–1644, December 2004
How to Cite
Altenmüller, D.-M., Zehender, M. and Schulze-Bonhage, A. (2004), High-grade Atrioventricular Block Triggered by Spontaneous and Stimulation-induced Epileptic Activity in the Left Temporal Lobe. Epilepsia, 45: 1640–1644. doi: 10.1111/j.0013-9580.2004.34403.x
- Issue online: 29 NOV 2004
- Version of Record online: 29 NOV 2004
- Accepted July 25, 2004.
- Ictal cardiac arrhythmia;
- Intracranial electrodes;
- Cortical stimulation
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.