Post-Ictal Transient Atrial Fibrillation As A Rare Manifestation Of Grand Mal Seizure

Area of Science:

• Cardiology
• Neurology

Background:

• Atrial fibrillation (AF) is commonly linked to various conditions like valvular disease, coronary artery disease, hyperthyroidism, alcohol, and pulmonary embolism.
• Transient AF is a rare manifestation that can arise from generalized tonic-clonic seizures (GTCS).

Observation:

• A 33-year-old male presented with GTCS and AF exhibiting a rapid ventricular response.
• Initial diagnostic workup, including cardiac enzymes, thyroid function, and echocardiogram, revealed no abnormalities.
• The patient converted to sinus rhythm spontaneously after diltiazem administration for rate control.

Findings:

• This case highlights a rare instance of AF occurring immediately post-GTCS.
• The patient had no prior history of AF or seizures.

Implications:

• AF following seizures is an uncommon but significant clinical observation in patients with epilepsy.
• The decision to initiate anticoagulation for AF must be carefully balanced against the increased risk of intracranial hemorrhage in patients prone to seizures.