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All neurological exams including brain MRI scan and routine electroencephalography (EEG) were normal. Long-term ECG monitoring using an event recorder captured an asystole during a habitual episode, leading to the diagnosis of syncope and pacemaker implantation. A subsequent video EEG monitoring performed due to ongoing unexplained confusional states revealed both bradycardia and long-lasting confusional states to be caused by unrecognised temporal lobe seizures. Ictal video EEG monitoring may play a crucial role in establishing a diagnosis of atypical temporal lobe seizures in the elderly.<\/jats:p>","DOI":"10.1136\/bcr-2018-228842","type":"journal-article","created":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T06:29:01Z","timestamp":1559716141000},"page":"e228842","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent episodes of falls and amnestic confusional states as diagnostic challenge in the elderly"],"prefix":"10.1136","volume":"12","author":[{"given":"Yulia","family":"Novitskaya","sequence":"first","affiliation":[{"name":"Epilepsy Center, University Medical Center, University of Freiburg, Freiburg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"G\u00f6tz-Trabert","sequence":"additional","affiliation":[{"name":"Epilepsy Center, University Medical Center, University of Freiburg, Freiburg, 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