Recurrent strokes in a 46-year-old woman: rapidly progressive nonbacterial thrombotic endocarditis.
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Biomedical subjects
Publications and source records attributed to S Nizam Ahmed.
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Partial seizures of temporal origin can be associated with clinically significant tachycardia or bradycardia. Ictal bradycardia and asystole has been implicated in the etiology of sudden unexpected death in epileptic patients (SUDEP). Although symptomatic ictal bradycardia has been relatively well described in the literature; information on asymptomatic ictal bradycardia is scarce. We report a case of asymptomatic ictal bradycardia diagnosed during video EEG telemetry that was subsequently implanted with a cardiac pacemaker.
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Epilepsy affects approximately 1 percent of the population and is characterized by recurrent unprovoked seizures. A careful clinical history is often helpful in diagnosis, classification of seizure and epilepsy types, selection of appropriate ancillary studies, selection of anti-epileptic drugs, and formulation of a long-term management plan. This article provides directions and guidelines both for the family practice physician and the specialist in evaluating this patient population in the clinics.
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