Ictal Asystole in Focal Epilepsy

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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 ...

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Ictal asystole in epilepsy patients undergoing inpatient video-EEG monitoring.

Ictal asystole (IA) is uncommonly diagnosed and has been implicated as a potential cause of sudden unexpected death in epilepsy. Sudden unexpected death in epilepsy is an increasingly recognizable condition and is more likely to occur in patients with medically intractable epilepsy and those suffering from convulsive epilepsy. We report 2 cases of recent onset of prolonged syncope and unreveali...

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Scalp-recorded ictal patterns in focal epilepsy.

Scalp-recorded focal EEG seizure patterns are usually expressed as rhythmic metamorphic evolving patterns (with or without epileptiform morphology) that progress through two or more ictal phases into a postictal change. Such patterns are almost invariably seen in temporal complex partial seizures but less often detected in frontal complex partial seizures and least of all in simple partial seiz...

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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...

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Asystole in focal epilepsy complicating a traumatic subdural hematoma

Ictal asystole due to sinus node suppression is a cause of sudden unexplained death in epilepsy. Here, for the first time, we describe a complete atrioventricular nodal block in a patient with non-compressive traumatic subdural hematoma, who developed ictal asystole as a delayed presentation. A leadless VVI pacemaker (ventricular paced, ventricular sensed, and pacing inhibited in response to a ...

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ژورنال

عنوان ژورنال: The Neurohospitalist

سال: 2015

ISSN: 1941-8744,1941-8752

DOI: 10.1177/1941874415569070