Heart versus brain: a case of ictal asystole in temporal lobe epilepsy
| Autor: | Anto Bagic, Ahmed Yassin, Belal Aldabbour, Alexandra Urban |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ictal bradycardia Neurology Temporal lobe lcsh:RC321-571 Epilepsy Ictal asystole Internal medicine Seizure control Medicine Ictal Epilepsy surgery Asystole lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry business.industry General Neuroscience Focal epilepsy medicine.disease Psychiatry and Mental health Cardiology Surgery Neurology (clinical) Neurosurgery Pshychiatric Mental Health business Arrhythmia |
| Zdroj: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, Vol 56, Iss 1, Pp 1-4 (2020) |
| ISSN: | 1687-8329 |
| Popis: | Background Ictal asystole is a rare phenomenon. Most reported cases are in persons with long-standing focal epilepsy originating from the temporal lobe. Its occurrence may complicate the clinical presentation or delay diagnosis, and it is thought to be associated with increased risk of sudden unexpected death in epilepsy. Case presentation We report the case of a 55-year-old female person with epilepsy who suffered ictal asystole for 10 s while under monitoring at the Epilepsy Monitoring Unit. We then review briefly the pathophysiology and current management modalities for this phenomenon. Discussion The first step in management of this condition is usually the optimization of anti-seizure drugs. In our case, a 2-year fall-free period was achieved with optimization of medical treatment. Pacemaker implantation can also be attempted to prevent ictal asystole-related falls and injury, while refractory cases may benefit from epilepsy surgery in terms of both seizure control and prevention of ictal asystole. |
| Databáze: | OpenAIRE |
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