Multifaceted presentations of ictal syncope

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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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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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Recurrent Syncope Triggered by Temporal Lobe Epilepsy: Ictal Bradycardia Syndrome

Ictal asystole is potentially lethal, and known to originate from the involvement of limbic autonomic regions. Appropriate treatment must include an antiepileptic drug and the implantation of a pacemaker. We report the case of a 54-year-old male with recurrent syncope secondary to ictal asystole triggered by temporal lobe epilepsy. This was confirmed by combined Holter and video-electroencephal...

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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: Indian Heart Journal

سال: 2018

ISSN: 0019-4832

DOI: 10.1016/j.ihj.2018.10.261