Ictal asystole: A benign condition?

Ictal asystole and ictal syncope: insights into clinical management.

BACKGROUND Ictal asystole is a rare, serious, and often treatable cause of syncope. There are currently limited data to guide management. Characterization of ictal syncope predictors may aid in the selection of high-risk patients for treatments such as pacemakers. METHODS AND RESULTS We searched our epilepsy monitoring unit database from October 2003 to July 2013 for all patients with ictal a...

Ictal asystole: life-threatening vagal storm or a benign seizure self-termination mechanism?

Recurrence risk of ictal asystole in epilepsy

OBJECTIVE To determine the recurrence risk of ictal asystole (IA) and its determining factors in people with epilepsy. METHODS We performed a systematic review of published cases with IA in 3 databases and additionally searched our local database for patients with multiple seizures simultaneously recorded with ECG and EEG and at least one IA. IA recurrence risk was estimated by including all ...

Brain seizes, heart ceases: a case of ictal asystole.

Epileptic seizures commonly result in changes of cardiac rate. Although tachycardias are much more frequent, ictal bradycardia and asystole may be life threatening and contribute to the syndrome of sudden unexplained death in epileptic patients. DiVerentiation between primary cardiac and cerebrogenic bradyarrhythmia is possible with the use of simultaneous EEG and ECG recording. The correct ide...

Syncope and ictal asystole caused by temporal lobe epilepsy.

yncope is defined as loss of consciousness and postural tone due to transient global cerebral hypoperfusion. Although it may also manifest as transient loss of consciousness, epilepsy is not due to cerebral hypoperfusion, and its treatment differs markedly from that of syncope.1 A 66-year-old, right-handed man presented with a 11/2-year history of 2 to 3 episodes of syncope/month, usually prece...