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

IF 1.3
Neurosciences (Riyadh, Saudi Arabia) Pub Date : 2014-10-01
Bashir S Shihabuddin, Aline S Herlopian, L John Greenfield
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Abstract

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 unrevealing cardiac work up. The inpatient video-EEG monitoring recorded left temporal ictal discharges followed by IA. Although the role of cardiac pacing is controversial in these patients, both patients had favorable outcome following cardiac pacemaker insertion. This report demonstrates the variability in IA pathophysiology and clinical manifestations. It also advocates that cardiac pacing might have a role in the management of IA.

Abstract Image

Abstract Image

接受住院视频脑电图监测的癫痫患者的骤停。
骤停(IA)是一种罕见的诊断,并被认为是癫痫猝死的潜在原因。癫痫猝死是一种越来越容易识别的疾病,更容易发生在医学上难治性癫痫患者和惊厥性癫痫患者身上。我们报告2例最近发作的长时间晕厥和不暴露的心脏工作。住院患者的视频脑电图监测记录了左颞峰放电,随后是IA。尽管心脏起搏器在这些患者中的作用存在争议,但两例患者在心脏起搏器插入后均有良好的结果。本报告显示了IA的病理生理和临床表现的可变性。它还主张心脏起搏可能在IA的管理中发挥作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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