Syncope, seizure or both?

Paraskevi Koutrolou-Sotiropoulou, Abhijeet Singh, Mason Leeman-Markowski, E. Rashba
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Abstract

Ictal asystole (IA) is a rare phenomenon in patients with seizures with an incidence of 0.27–0.4% and has been proposed as a possible mechanism of sudden unexpected death in epilepsy patients (SUDEP). We present a case of a 53-year-old woman who initially presented with episodes of expressive aphasia and was treated with antiepileptic drugs (AEDs). While on therapy she experienced episodes of syncope. During her hospitalization for tapering of AEDs and 24-hour EEG monitoring, the patient developed a seizure followed by sinus bradycardia and an 18-second sinus pause, resulting in loss of consciousness and slowing of cerebral activity. Ten seconds after the return of cardiac activity, the EEG showed return of cerebral activity. A dual chamber pacemaker was implanted.
晕厥,癫痫还是两者都有?
骤停(IA)在癫痫发作患者中是一种罕见的现象,发生率为0.27-0.4%,已被认为是癫痫患者猝死(SUDEP)的可能机制。我们报告了一例53岁的女性,她最初表现为表达性失语发作,并接受了抗癫痫药物(AEDs)的治疗。在接受治疗期间,她有晕厥的症状。在她因aed减量和24小时脑电图监测住院期间,患者出现癫痫发作,随后出现窦性心动过缓和18秒窦性暂停,导致意识丧失和大脑活动减慢。心脏活动恢复10秒后,脑电图显示大脑活动恢复。植入双室起搏器。
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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