Document Detail

Atrial fibrillation associated with epileptic seizures.
MedLine Citation:
PMID:  22637287     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Epileptic seizures are often associated with changes in cardiac autonomic function. Yet atrial fibrillation (AFib) or atrial flutter (AFlu) following epileptic seizures has only rarely been reported in the past.
OBJECTIVES: To describe and characterize patients who experienced lone AFib or AFlu as a consequence of epileptic seizures.
DESIGN: Case reports.
SETTING: University teaching hospital.
PATIENTS: We describe 4 patients who developed transient AFib following epileptic seizures and 1 patient who developed transient AFlu following epileptic seizures.
RESULTS: In all patients, AFib and AFlu followed a generalized tonic-clonic seizure. The arrhythmia usually lasted a few hours and converted spontaneously to a normal sinus rhythm. In 3 patients, AFib or AFlu developed during the first seizure they experienced, and none of the patients developed drug-resistant epilepsy. Moreover, none of the patients had a known cardiac disease, yet, in 2 patients, the cardiological workup demonstrated mild abnormalities on the cardiac stress test.
CONCLUSIONS: Atrial fibrillation is the most common type of arrhythmia, with an estimated prevalence of 1%. Despite the fact that AFib can cause syncope, it is important to consider the possibility of AFib developing secondary to an epileptic seizure in cases of AFib and transient loss of consciousness.
Moshe Herskovitz; Yitzhak Schiller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of neurology     Volume:  69     ISSN:  1538-3687     ISO Abbreviation:  Arch. Neurol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-11     Completed Date:  2012-12-12     Revised Date:  2013-02-15    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1197-9     Citation Subset:  AIM; IM    
Department of Neurology, Rambam Medical Center, 1 Efron St, Haifa 31096, Israel.
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MeSH Terms
Atrial Fibrillation / etiology*,  physiopathology
Atrial Flutter / etiology*,  physiopathology
Middle Aged
Seizures / complications*,  physiopathology

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