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Review Case Reports
Ictal asystole: case report with review of literature.
- Thomas Marynissen, Nelly Govers, and Tom Vydt.
- Dept. of Cardiology, St.-Maarten Hospital, Mechelen and Duffel, Belgium. thomas.marynissen@student.kuleuven.be
- Acta Cardiol. 2012 Aug 1; 67 (4): 461-4.
AbstractCardiac arrhythmias are frequently observed during epileptic seizures. Mostly they are benign, but severe bradycardia and asystole occur in 0.27-0.5% of patients who have seizures on video-EEG monitoring units. Especially patients with partial seizures involving the insular, orbital frontal and anterior temporal lobe regions, are at risk. Ictal bradycardia could be a cause of SUDEP (sudden unexpected death in epilepsy) and pacemaker insertion might therefore improve survival in selected cases, although more research is needed to prove this. We present a case of prolonged ictal asystole in a patient with newly diagnosed partial epilepsy originating from the temporal lobe.
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