Recurrent Sinus Pauses: An Atypical Presentation of Temporal
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Introduction
Epilepsies are known to alter autonomic function during the ictal, postictal, and interictal periods. Autonomic function at both sympathetic and parasympathetic levels may be affected. These effects may give rise to a broad spectrum of cardiovascular abnormalities. We report a case of a Haitian female with temporal lobe epilepsy associated with recurrent sinus pauses.

Case Report
A 58-year-old Haitian female with known history of hypertension was admitted for severe bilateral lower extremity weakness. CT scan of the thoracolumbar spine revealed severe kyphosis of T10-T11 secondary to anterior collapse of the T11 vertebral body. She received intravenous steroids and was evaluated for surgical intervention. She eventually underwent T11 corpectomy, fusion of T10-T12, implantation of biomechanical device at T11, anterior instrumentation of T10-12, and posterolateral fusion of T8-L3. Bone biopsy revealed evidence of osteomyelitis. She was started on a 42-day course of antibiotics. After surgery, she was noted to be increasingly lethargic and confused. Rapid response was called when she developed a complex partial seizure with secondary generalization.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195260/
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