Ictal asystole with isolated syncope: A case report and literature review
| Autor: | Olga Taraschenko, Lakshman Arcot Jayagopal, Wenyang Li |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Ictal bradycardia VPA valproic acid medicine.medical_treatment MT medial temporal EKG electrocardiogram 030204 cardiovascular system & hematology PT parietal–temporal Cardiac pacemaker Article lcsh:RC321-571 Focal seizures 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Internal medicine medicine Ictal In patient Asystole Temporal lobe epilepsy lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry biology business.industry EMU epilepsy monitoring unit Syncope (genus) Postictal confusion AT anterior temporal FT fronto-temporal T temporal biology.organism_classification medicine.disease F frontal Ictal syncope nervous system diseases nervous system Neurology EEG electroencephalographic OXC oxcarbazepine Etiology Cardiology Neurology (clinical) SUDEP sudden unexpected death in epilepsy LEV levetiracetam business MRI magnetic resonance imaging 030217 neurology & neurosurgery |
| Zdroj: | Epilepsy & Behavior Case Reports Epilepsy and Behavior Case Reports, Vol 11, Iss, Pp 47-51 (2019) |
| ISSN: | 2213-3232 |
| Popis: | Ictal syncope is a rare phenomenon that occurs in association with 0.002–0.4% of seizures. In the absence of other symptoms, seizures presenting with syncope may be challenging to diagnose. We report a case of a previously healthy male who developed recurrent episodes of syncope with postictal confusion and was later diagnosed with temporal seizures. The patient was successfully treated with anti-seizure drugs and placement of a cardiac pacemaker. In a systematic review of literature, we summarize the clinical characteristics of patients with ictal asystole and isolated syncope. Seizures should be considered in patients with syncope of uncertain etiology. Highlights • Focal seizures leading to bradycardia-asystole can be accompanied by sudden atonia with loss of consciousness • Ictal syncope as the only symptom of seizure represents an exceptionally rare phenomena that may mimic other paroxysmal neurological events • Patients with recurrent syncopal events of uncertain etiology should have seizures considered in the differential diagnosis |
| Databáze: | OpenAIRE |
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