Epileptic disorders : international epilepsy journal with videotape
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Events of ictal bradycardia or asystole may be of relevance in epilepsy patients presenting with ictal falls, and are a potential contributor to SUDEP. The literature on ictal bradycardia or asystole is anecdotal and consists of case reports and small case series. There are no guidelines for the care of patients with ictal arrhythmias. ⋯ A cardiac pacemaker was implanted. At the nine-month follow-up, the patient reported no overt seizures, syncopes or traumatic falls. Our case demonstrates that implantation of a cardiac pacemaker while continuing AEDs may render a patient free from ictal symptoms and prevent ictal syncope and subsequent trauma. [Published with video sequences].
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Case Reports
Periodic eye opening and swallowing movements associated with post-anoxic burst-suppression EEG pattern.
We report a video-electroencephalogram study of a 50-year-old woman who developed a clinical picture consisting of stereotyped periodic eye opening followed by eye closing, with or without swallowing movements, after a prolonged cardiopulmonary arrest. These movements were associated with a burst-suppression pattern on the electroencephalogram. [Published with video sequences].