In this letter, we present the results of a conjunction between the SAMPEX satellite and a THEMIS all-sky imager in Gillam, Canada—showing a high correlation between relativistic, >1 MeV, electron microbursts and a type of pulsating aurora called patchy aurora. The correlation was 0.8, and is not serendipitous. While the relationship between pulsating aurora and 10-100s keV microbursts has been previously predicted, here we show a strong association between keV and MeV electron dynamics—possibly spanning two orders of magnitude. Importantly, this result shows that the dynamics of relativistic radiation belt electrons are at times intimately tied to keV electron precipitation, and can not be studied in isolation.