Syncope—Brain or Heart? A Case Report
Article first published online: 30 JUN 2006
Pacing and Clinical Electrophysiology
Volume 15, Issue 6, pages 957–960, June 1992
How to Cite
NILSSON, H., FREITAG, M., HINDFELT, B., JOHANSSON, B. W. and ROSÉN, I. (1992), Syncope—Brain or Heart? A Case Report. Pacing and Clinical Electrophysiology, 15: 957–960. doi: 10.1111/j.1540-8159.1992.tb03085.x
- Issue published online: 30 JUN 2006
- Article first published online: 30 JUN 2006
- Received Novembers 6, 1991; revision January 7,1992; accepted February 3, 1992.
- temporal-lobe epilepsia;
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.