Ictal asystole: a case presentation
Abstract Background Epileptic seizures can lead to cardiac arrhythmias. The arrhythmias may be in the form of tachycardia, bradycardia or asystole. Ictal bradycardia and asystole can lead to sudden unexpected death. Case presentation A case report of a 40-year-old male with complex partial temporal...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2018-07-01
|
Series: | BMC Neurology |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12883-018-1105-5 |
id |
doaj-82a59068ad724bf39a9c2699f720c7a9 |
---|---|
record_format |
Article |
spelling |
doaj-82a59068ad724bf39a9c2699f720c7a92020-11-25T01:56:41ZengBMCBMC Neurology1471-23772018-07-011811410.1186/s12883-018-1105-5Ictal asystole: a case presentationNirmeen Kishk0Amani Nawito1Ahmed El-Damaty2Amany Ragab3Neurology Department, Faculty of Medicine, Kasr Alainy Hospital, Cairo UniversityClinical Neurophysiology Unit, Faculty of Medicine, Kasr Alainy Hospital, Cairo UniversityCardiovascular Department, Faculty of Medicine, Kasr Alainy Hospital, Cairo UniversityNeurology Department, Faculty of Medicine, Kasr Alainy Hospital, Cairo UniversityAbstract Background Epileptic seizures can lead to cardiac arrhythmias. The arrhythmias may be in the form of tachycardia, bradycardia or asystole. Ictal bradycardia and asystole can lead to sudden unexpected death. Case presentation A case report of a 40-year-old male with complex partial temporal lobe epilepsy. He has coincident attacks of fall and pallor. The patient underwent simultaneous electrocardiogram (ECG) and video electroencephalogram (EEG) monitoring. The slow activity in EEG coincide with the appearance of bradycardia in ECG then cardiac asystole which clinically correspond to the patient syncope. After insertion of a cardiac pacemaker, only complex partial attacks develop with a marked reduction in frequency and no more fall attacks. Conclusion Epileptic seizures can present with cardiac arrhythmias, with ictal asystole leading to sudden unexpected death. Simultaneous EEG and ECG are essential for the diagnosis. A cardiac pacemaker can be lifesaving for patients with ictal arrhythmias.http://link.springer.com/article/10.1186/s12883-018-1105-5Ictal asystoleEpilepsyCardiac arrhythmiaPacemakerSimultaneous ECG and EEG |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nirmeen Kishk Amani Nawito Ahmed El-Damaty Amany Ragab |
spellingShingle |
Nirmeen Kishk Amani Nawito Ahmed El-Damaty Amany Ragab Ictal asystole: a case presentation BMC Neurology Ictal asystole Epilepsy Cardiac arrhythmia Pacemaker Simultaneous ECG and EEG |
author_facet |
Nirmeen Kishk Amani Nawito Ahmed El-Damaty Amany Ragab |
author_sort |
Nirmeen Kishk |
title |
Ictal asystole: a case presentation |
title_short |
Ictal asystole: a case presentation |
title_full |
Ictal asystole: a case presentation |
title_fullStr |
Ictal asystole: a case presentation |
title_full_unstemmed |
Ictal asystole: a case presentation |
title_sort |
ictal asystole: a case presentation |
publisher |
BMC |
series |
BMC Neurology |
issn |
1471-2377 |
publishDate |
2018-07-01 |
description |
Abstract Background Epileptic seizures can lead to cardiac arrhythmias. The arrhythmias may be in the form of tachycardia, bradycardia or asystole. Ictal bradycardia and asystole can lead to sudden unexpected death. Case presentation A case report of a 40-year-old male with complex partial temporal lobe epilepsy. He has coincident attacks of fall and pallor. The patient underwent simultaneous electrocardiogram (ECG) and video electroencephalogram (EEG) monitoring. The slow activity in EEG coincide with the appearance of bradycardia in ECG then cardiac asystole which clinically correspond to the patient syncope. After insertion of a cardiac pacemaker, only complex partial attacks develop with a marked reduction in frequency and no more fall attacks. Conclusion Epileptic seizures can present with cardiac arrhythmias, with ictal asystole leading to sudden unexpected death. Simultaneous EEG and ECG are essential for the diagnosis. A cardiac pacemaker can be lifesaving for patients with ictal arrhythmias. |
topic |
Ictal asystole Epilepsy Cardiac arrhythmia Pacemaker Simultaneous ECG and EEG |
url |
http://link.springer.com/article/10.1186/s12883-018-1105-5 |
work_keys_str_mv |
AT nirmeenkishk ictalasystoleacasepresentation AT amaninawito ictalasystoleacasepresentation AT ahmedeldamaty ictalasystoleacasepresentation AT amanyragab ictalasystoleacasepresentation |
_version_ |
1724978574532804608 |