ABSTRACT

Ictal bradycardia is characterized as the presence of bradycardia during the ictal discharge and mostly seen in left temporal zone originated seizures. It could lead to conditions such as syncope, asystole and severe injuries. With this case report, it is aimed to emphasize the importance of applying 24-hour video electroencephalographyelectrocardiography monitoring in patients with unexplained loss of consciousness.

A 68-year old male patient was admitted to Trakya University Hospital with a history of falls and loss of consciousness for one year. The patient underwent six days long 24-hour video- electroencephalographyelectrocardiography monitoring and on the second day, an ictal discharge on left temporal zone accompanied by a heart beat decrease was seen.

This case shows the importance of 24-hour video-electroencephalography-electrocardiography monitoring in diagnosis of ictal bradycardia. Treating these patients with antiepileptic drugs could prevent the severe complications of the condition. In case of insufficiency of the antiepileptic drug therapy, inserting a cardiac pacemaker may be considered.

Keywords: Seizures, bradycardia, aphasia