Syncope and ictal asystole caused by temporal lobe epilepsy.
نویسندگان
چکیده
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 preceded by epigastric discomfort and followed by feelings of warmth, diaphoresis and nausea. The frequency and severity of his syncopal attacks gradually increased over time, some eventu-
منابع مشابه
Ictal asystole in temporal lobe epilepsy before and after pacemaker implantation.
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. Insertion of cardiac pacemakers may prevent life-threatenin...
متن کاملClinical commentary with video sequences Ictal asystole in temporal lobe epilepsy before and after pacemaker implantation
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 arrythmias. Insertion of cardiac pacemakers may prevent life-threatening...
متن کاملRecurrent 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...
متن کاملNew onset left frontal lobe seizure presenting with ictal asystole
Ictal asystole is a presumably rare but potentially fatal complication of seizures, most often of temporal lobe origin. It is believed that at least some cases of sudden unexplained death in epilepsy (SUDEP) might be triggered by ictal bradycardia or asystole. Current standard practice is to implant a permanent pacemaker in these patients to prevent syncope and/or death. However, emerging data ...
متن کاملIctal 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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ورودعنوان ژورنال:
- Circulation journal : official journal of the Japanese Circulation Society
دوره 75 10 شماره
صفحات -
تاریخ انتشار 2011