Cardiac asystole during right frontal lobe seizures: A case report

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The association between partial seizures and cardiac asystole has rarely been reported in the literature. This potentially life-threatening symptom has been observed principally in left-sided epilepsies, in particular during seizures originating in temporal lobe. We describe a case with ictal bradycardia followed by cardiac asystole during right frontal lobe seizures. Video-EEG monitoring recorded two partial seizures with electro-clinical findings suggestive of a right frontal lobe origin, associated with ictal bradycardia followed by prolonged asystole. The brain MRI showed a lesion located in the cingulate gyrus of the right frontal lobe. The patient required a subsequent placement of a pacemaker. In conclusion, cardiac asystole may be a potentially life-threatening symptom during seizures of frontal lobe origin. The right fronto-mesial structures may play a role in autonomic regulation of cardiovascular responses.

Original languageEnglish
Pages (from-to)340-343
Number of pages4
JournalNeurological Sciences
Issue number5
Publication statusPublished - Dec 2005


  • Asystole
  • Bradycardia
  • ECG
  • Frontal lobe epilepsy
  • Video-EEG monitoring

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology


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