Ictal Asystole and Ictal Syncope

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Ictal asystole and ictal syncope: insights into clinical management.

BACKGROUND Ictal asystole is a rare, serious, and often treatable cause of syncope. There are currently limited data to guide management. Characterization of ictal syncope predictors may aid in the selection of high-risk patients for treatments such as pacemakers. METHODS AND RESULTS We searched our epilepsy monitoring unit database from October 2003 to July 2013 for all patients with ictal a...

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Syncope and ictal asystole caused by temporal lobe epilepsy.

yncope is defined as loss of consciousness and postural tone due to transient global cerebral hypoperfusion. Although it may also manifest as transient loss of consciousness, epilepsy is not due to cerebral hypoperfusion, and its treatment differs markedly from that of syncope.1 A 66-year-old, right-handed man presented with a 11/2-year history of 2 to 3 episodes of syncope/month, usually prece...

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Ictal syncope: A neurologist's perspective

Isolated syncope is a rare manifestation of seizures in children and it is a poorly localizing sign in the evaluation of seizures in children. Many times, such episodes are mistaken as primary cardiac dysrhythmias and we present herewith one such case in a child, who succumbed to the illness despite treatment.

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Recurrence risk of ictal asystole in epilepsy

OBJECTIVE To determine the recurrence risk of ictal asystole (IA) and its determining factors in people with epilepsy. METHODS We performed a systematic review of published cases with IA in 3 databases and additionally searched our local database for patients with multiple seizures simultaneously recorded with ECG and EEG and at least one IA. IA recurrence risk was estimated by including all ...

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Ictal asystole with convulsive syncope mimicking secondary generalisation: a depth electrode study.

Ictal bradycardia is rare and its localising value is debated. Bradyarrhythmias are, however, important because of their potential connection to sudden death and ability to affect clinical seizure manifestations. Cerebral hypoperfusion induces loss of consciousness, at times with myoclonic jerks, whose clinical differentiation from a generalised convulsive seizure may prove difficult. Two invas...

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ژورنال

عنوان ژورنال: Circulation: Arrhythmia and Electrophysiology

سال: 2015

ISSN: 1941-3149,1941-3084

DOI: 10.1161/circep.114.001667