Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole

Figure 3

While performing synchronous recording of electroencephalography (EEG) and echocardiogram (ECG) with bipolar montages (double banana), the patient had a left temporal seizure and developed a bradycardia rhythm. The ECG lead displayed a bradycardia rhythm in the pink lead, and an arrow indicated a bradycardia rhythm on the ECG lead at the end of the seizure. The pacemaker kicked in, as denoted by the star mark. The ECG gradually returned to normal sinus rhythm afterwards.