Case reports
Carotid sinus syndrome masquerading as treatment resistant
epilepsy
Steve W Parry, Rose Anne Kenny
University of
Newcastle and Institute for the Health of the Elderly, Cardiovascular
Investigation Unit, Royal Victoria Infirmary, Queen Victoria Road,
Newcastle upon Tyne NE1 4LP, UK
Correspondence to: and requests for reprints to: Professor Kenny (email: R.A.Kenny{at}ncl.ac.uk)
Submitted 27 March
2000;
Accepted 19 April 2000
A 65 year old woman had a 12 year history of frequent,
recurrent seizure-like episodes labelled as treatment resistant
epilepsy after neurological evaluation and follow up and treatment with multiple antiepileptic medications. Carotid sinus massage provoked 5.6 seconds asystole with symptom reproduction, and she has remained symptom-free after permanent pacemaker implantation for her carotid sinus syndrome and withdrawal of antiepileptic medications.
Keywords: syncope; carotid sinus; pacing; artificial; epilepsy
© 2000 by The Fellowship of Postgraduate Medicine
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