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NEUROLOGY 1985;35:1503
© 1985 American Academy of Neurology

Arrhythmogenic seizures

Diagnosis by simultaneous EEG/ECG recording

James M. Gilchrist, MD

From the Department of Neurology, Medical College of Virginia. Riehmond. VA.

We studied a young man with presumably idiopathic seizures that were refractory to phenytoin therapy. Sick sinus syndrome was found after an episode of unconsciousness, but seizures continued despite the insertion of a demand ventricular pacemaker. Evaluation revealed a left temporal seizure focus, and combined EEG and ECG monitoring during a seizure revealed a left temporal paroxysmal discharge and an ictal cardiac arrhythmia. Detailed EEG and cardiac evaluation is necessary for all patients with "idiopathic" seizures.

Address correspondence and reprint requests to Dr. Gilchrist, Box 3924, Duke University Medical Center, Durham, NC 27710.

Accepted for publication January 10, 1985.




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