Late-onset asystolic episodes in a patient with a vagal nerve stimulator

Abstract

Insertion of a vagal nerve stimulator is an option to control partial complex seizures in patients with refractory epilepsy. The therapy is reported to be safe and is generally well tolerated by patients. We present a patient with periodic asystolic episodes causing syncopal events, thought to be caused by a previously placed vagal nerve stimulator. The patient was successfully treated with a pacemaker implantation.