Pediatric Neurology 80 (2018) 90–91 Contents lists available at ScienceDirect Pediatric Neurology journal homepage: www.elsevier.com/locate/pnu Visual Diagnosis Complete Atrioventricular Heart Block From an Epilepsy Treatment a, b c Kelly M. Brinkley MD *, Mark D. Ayers MD , Deborah K. Sokol PhD, MD Pediatrics—Neurodevelopmental Disabilities Residency Program, Indiana University School of Medicine, Indianapolis, Indiana Department of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana de pointes). Haloperidol, methylphenidate, and VNS were Atrioventricular (AV) heart block without adequate escape stopped without further symptoms. Off these medications, rhythm can result in sudden cardiac arrest and death. We the VNS was resumed at reduced current (1.25 mA), with describe complete (third-degree) AV block in a 16-year- re-occurrence of symptomatic AV block. Again, the VNS was old boy as a late effect of vagus nerve stimulation (VNS). He stopped and symptoms or heart block ceased. Psychotro- experienced brief, daily, complex partial seizures, treated with pic medication was resumed without any side-effects. lamotrigine, levetiracetam, and the placement of Model 102 The vagus nerve innervates the heart. Therefore, precau- VNS at age 4 years. Electroencephalography (EEG) showed tionary practices include (1) implanting the vagus nerve
Pediatric Neurology – Elsevier
Published: Mar 1, 2018
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