Seizure as the Cause of Atrial Fibrillation
Introduction: Cardiac dysrhythmias are commonly seen with seizures, and atrial fibrillation (AF) is one of the rarest peri-ictal dysrhythmias. Case Report: Here we present a case of AF that starts and ends with seizure episodes in a 72-year-old man.Conclusion: The pathophysiology of such dysrhythmias is not completely understood, but autonomic system activation during seizures has been proposed to be the cause. Some believe that AF is the effect and not the cause of seizure. To the best of our knowledge, this case is the most complete evidence of causality of seizure for AF
___
- Vedovello M, Baldacci F, Nuti A, Cipriani G, Ulivi M, Vergallo A, et al. Peri- ictal prolonged atrial fibrillation after generalized seizures: description of a case and etiopathological considerations. Epilepsy Behav 2012; 23: 377-8. [CrossRef]
- Herskovitz M, Schiller Y. Atrial fibrillation associated with epileptic sei- zures. Arch Neurol 2012; 69: 1197-9. [CrossRef]
- Mathew NT, Taori GM, Mathai KV, Chandy J. Atrial fibrillation associated with seizure in a case of frontal meningioma. Neurology 1970; 20: 725- 8. [CrossRef]
- van der Lende M, Surges R, Sander JW, Thijs RD. Cardiac arrhythmias during or after epileptic seizures. J Neurol Neurosurg Psychiatry 2016; 87: 69-74.
- Nei M, Ho RT, Abou-Khalil BW, Drislane FW, Liporace J, Romeo A, et al. EEG and ECG in sudden unexplained death in epilepsy. Epilepsia 2004; 45: 338-45. [CrossRef]
- Simon RP, Aminoff MJ, Benowitz NL. Changes in plasma catecholamines after tonic-clonic seizures. Neurology 1984; 34: 255-7. [CrossRef]
- Britton JW, Ghearing GR, Benarroch EE, Cascino GD. The ictal bradycar- dia syndrome: localization and lateralization. Epilepsia 2006; 47: 737-44. [CrossRef]
- Park HW, Shen MJ, Lin SF, Fishbein MC, Chen LS, Chen PS. Neural mecha- nisms of atrial fibrillation. Curr Opin Cardiol 2012; 27: 24-8. [CrossRef] 76