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  • Title: Accurate diagnosis of convulsive syncope: role of an implantable subcutaneous ECG monitor.
    Author: Zaidi A, Clough P, Mawer G, Fitzpatrick A.
    Journal: Seizure; 1999 May; 8(3):184-6. PubMed ID: 10356379.
    Abstract:
    Convulsive syncope due to transient bradycardia is recognized as a cause of treatment-resistant seizures. However, the diagnosis may be difficult to make with conventional electrocardiographic devices if attacks are infrequent. We present a case of apparent epilepsy in which a new implantable electrocardiographic event recorder (the 'Reveal' insertable loop recorder) was used to show that attacks were caused by prolonged asystole of up to 36 s in duration. The insertable loop recorder may have an important role in the investigation of patients with treatment-resistant seizures, particularly where there is a strong suspicion of an underlying cardiac arrhythmia.
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