AI Article Synopsis
- A 25-year-old healthy man experienced a sudden loss of consciousness and a seizure while standing, leading to his hospitalization.
- Tests showed he had cardiac asystole but no structural heart issues, and his heart's electrical functions were normal.
- Notably, brain scans revealed an enlarged left amygdala and the case is identified as a unique instance of temporal lobe epilepsy linked to cardiac asystole.
Article Abstract
A 25-year-old previously healthy man was hospitalized for syncope. While standing, he suddenly lost consciousness, followed by a generalized tonic clonic seizure. An electrocardiogram demonstrated asystole. No cardiac abnormalities were detected on the echocardiogram, cardiac magnetic resonance imaging (MRI), positron emission tomography, or a coronary angiogram. An electrophysiological study showed normal sinus node and atrioventricular node function. An electroencephalogram revealed small spike waves in the fronto-temporal region. Brain MRI demonstrated a left-sided amygdala enlargement. To the best of our knowledge, this is the first case of temporal lobe epilepsy with an amygdala enlargement that induced cardiac asystole.
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| http://dx.doi.org/10.2169/internalmedicine.55.6200 | DOI Listing |
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