Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery

Autor: Shreyas Hasmukh Ravat, Amit Ashok Bhatti, Mansi Viraj Shah, Dattatraya P Muzumdar, Sangeeta Hasmukh Ravat
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Annals of Indian Academy of Neurology, Vol 20, Iss 1, Pp 55-57 (2017)
Druh dokumentu: article
ISSN: 0972-2327
1998-3549
DOI: 10.4103/0972-2327.199916
Popis: Seizures are associated with fascinatingly varied cardiac and autonomic manifestations, of which ictal tachycardia is common, and asystole and bradycardia are rare. Ictal asystole (IA), an often unsought autonomic phenomenon, occurs most commonly with temporal followed by frontal lobe seizures. Prolonged IA may lead to cerebral anoxic ischemia. As the mysteries of sudden unexplained death in epilepsy are unraveled, it is quite possible that the key to it lays within these seizure-induced cardiac rhythm abnormalities. We present a case of a young male with temporal lobe epilepsy due to left mesial temporal sclerosis with prolonged IA, which was successfully managed with epilepsy surgery.
Databáze: Directory of Open Access Journals