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Abstract

Journal of Neurosciences in Rural Practice. 2013 Aug; 4(Suppl 1): S103-5.
doi  10.4103/0976-3147.116433
PMID 24174771

Self-limiting symptomatic peri-ictal bradyarryhthmia due to junctional AV rhythm.

Babarao, Hanmantrao Darku Madhu, Nagappa Sinha, Sanjib Prasad, Chandrajit Somasekhar, Nagaraju Ahmad, Naveed Bindu, Parayil Sankaran Taly, Arun B

Abstract


We report an elderly man with chronic uncontrolled localization-related epilepsy on three AEDs, who developed in-hospital symptomatic bradyarrythmia due to junctional atrio-ventricular (AV) rhythm after an episode of generalized seizure during his hospital stay. On further evaluation, the cardiac enzymes were normal and 2D-echocardiogram showed mild left ventricular hypertrophy. Patient recovered from the same with supportive treatment within few hours. We emphasize on importance of prompt recognition of this event and its implication including one of the mechanism for sudden unexplained death in epilepsy.

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Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-Non Derivative-Non Commercial License, permitting copying and reproduction so long as the original work is given appropriate credit.

Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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