Carotid sinus syndrome masquerading as treatment resistant epilepsy

Citation
Sw. Parry et Ra. Kenny, Carotid sinus syndrome masquerading as treatment resistant epilepsy, POSTG MED J, 76(900), 2000, pp. 656-657
Citations number
11
Categorie Soggetti
General & Internal Medicine
Journal title
POSTGRADUATE MEDICAL JOURNAL
ISSN journal
00325473 → ACNP
Volume
76
Issue
900
Year of publication
2000
Pages
656 - 657
Database
ISI
SICI code
0032-5473(200010)76:900<656:CSSMAT>2.0.ZU;2-U
Abstract
A 65 year old woman had a 12 year history of frequent, recurrent seizure-li ke episodes labelled as treatment resistant epilepsy after neurological eva luation and follow up and treatment with multiple antiepileptic medications . Carotid sinus massage provoked 5.6 seconds asystole with symptom reproduc tion, and she has remained symptom-free after permanent pacemaker implantat ion for her carotid sinus syndrome and withdrawal of antiepileptic medicati ons.