I've been lurking for a while here, and have really appreciated the
comments and contributions made by everyone.  I've hit a bit of a
brick wall in my own walk, and would appreciate any thoughts, input,
or suggestions.  I'll try to make the background brief:

I'm 44, male, diagnosed as "Nocturnal Epilepsy".

Had experiences where everything looked "far away" as a kid, and was
on dilantin.  The problem went away when I was a teen.

15 years ago I had a daytime classic seizure:  flopped on the ground
like a fish then jumped straight up.  No memory of it;  it occurred
when talking to someone with whom I had a great deal of stress.  Went
to the doctor -- found nothing, prescribed no meds, and no other
seizures until about 2 or 3 years ago.

Now, seizures are ONLY at night.
Bite the crap out of my tongue (even with a specially made
bite-guard).
Seizures occur once every few weeks -- at night, never a memory of
one, with going stiff while grinding teeth and drooling.

Currently use a c-pap machine for sleep apnea.

Here's the kicker:

I had pneumonia, we believe after aspirating (breathing in saliva
during a seizure), and spent 11 days in the hospital - 7 of which were
in intensive care.  That was in October.  While there I had 3
different seizures and each time I had a heart "pause" of anywhere
from 8-15 seconds.  The docs thought it was just because I was so
sick.

Well, I had a sleep study done last week and would you believe that
this time they FINALLY caught a seizure on video and recorded the EEG
and the EKG!  Well, lo, the seizure occurred first, then followed by a
heart pause of 15 seconds, with the heart starting itself no problem.
I woke-up, no memory, no one said anything, and didn't hear a thing
until talking to my neurologist later in the day!

My neuro says that the seizure causes the heart pause, not the other
way around, and has set-up for me to see a well known neuro specialist
at MCV in Richmond, Virginia, as well as a well-known cardiologist at
MCV.  I'm going to the cardiologist next week to see about the need
for a pacemaker...

I'm currently taking:

10mg Norvasc
12.5 mg hctz
12.5 mg Paxil
50 mg Topamax twice a day (just started last week)

I should add that a seizure is usually preceded and/or followed by a
feeling that something horrible is going to or has happened, but I
just can't remember what it is....  like a deja vu sensation.  It
really can be quite horrible!

I've been on the Topamax for about 10 days, and I can't seem to
remember my own name!   Is it the med, or is the neuro correct that
each seizure causes brain damage to the memory portion of the brain?

Anyway, I've tried other meds (Keppra, etc...) but they either didn't
seem to work or I couldn't tolerate them.

I do have a fairly stressful job and family life, which I guess
doesn't help.

I don't drink at all, on the orders of the doctors (but would like
to),  and don't take any recreational drugs.

HELP!  Anyone have any suggestions?  Anyone heard of the heart pauses
associated with seizures?

Thanks in advance!

Randy