Atonía ictal tardía en crisis temporales como signo indicador de bradiarritmia ictal cardiaca severa

Atypical clinical presentation of focal seizures with temporal lobe semiology and DIA with or without myoclonus should generate suspicion of severe ictal cardiac bradyarrhythmia. Diagnosis by VEEG-EKG is critical for an earlier and aggressive treatment, including surgery and/or pacemaker, to reduce morbi-mortality.