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Cardiac arrest associated with epileptic seizures: A case report with simultaneous EEG and ECG.

Mehvari J, Fadaie F, Omidi S, Poorsina M, Najafi Ziarani M, Gharekhani M, Beladimoghadam N, Rahimian E, Moein H, Barakatain M, Basiratnia M, Hashemi Fesharaki SS - Epilepsy Behav Case Rep (2014)

Bottom Line: The second one was a 42-year-old veteran with penetrating head trauma in the left frontal lobe due to shell injury.In cases of epileptic cardiac dysrhythmia, prolonged simultaneous EEG/ECG monitoring may be required.Cardiological investigation should be included in epilepsy management.

View Article: PubMed Central - PubMed

Affiliation: Shefa Neuroscience Research Center, Khatamolanbia Hospital, Tehran, Iran ; Isfahan Neurosciences Research Center, Isfahan, Iran.

ABSTRACT
Ictal asystole is a rare, probably underestimated manifestation of epileptic seizures whose pathophysiology is still debated. This report describes two patients who had cardiac asystole at the end of their seizure. The first patient was a 13-year-old boy with complex partial seizures.. His MRI showed symmetrical signal abnormality in the bilateral parietooccipital lobe accompanied by mild gliosis and volume loss. During a 3-day long-term video-EEG monitoring, he had cardiac arrest at the end of one of his seizures that was secondarily generalized. The second one was a 42-year-old veteran with penetrating head trauma in the left frontal lobe due to shell injury. During long-term video-EEG monitoring, he had one generalized tonic-clonic seizure accompanied by bradycardia and cardiac asystole. Asystoles could have a role in the incidence of sudden unexpected death in epilepsy (SUDEP), meaning that the presence of ictal bradycardia is a risk factor for SUDEP. In cases of epileptic cardiac dysrhythmia, prolonged simultaneous EEG/ECG monitoring may be required. Cardiological investigation should be included in epilepsy management.

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Cardiac arrest associated with epileptic seizures: A case report with simultaneous EEG and ECG.

Mehvari J, Fadaie F, Omidi S, Poorsina M, Najafi Ziarani M, Gharekhani M, Beladimoghadam N, Rahimian E, Moein H, Barakatain M, Basiratnia M, Hashemi Fesharaki SS - Epilepsy Behav Case Rep (2014)

© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4307967&req=5

Bottom Line: The second one was a 42-year-old veteran with penetrating head trauma in the left frontal lobe due to shell injury.In cases of epileptic cardiac dysrhythmia, prolonged simultaneous EEG/ECG monitoring may be required.Cardiological investigation should be included in epilepsy management.

View Article: PubMed Central - PubMed

Affiliation: Shefa Neuroscience Research Center, Khatamolanbia Hospital, Tehran, Iran ; Isfahan Neurosciences Research Center, Isfahan, Iran.

ABSTRACT
Ictal asystole is a rare, probably underestimated manifestation of epileptic seizures whose pathophysiology is still debated. This report describes two patients who had cardiac asystole at the end of their seizure. The first patient was a 13-year-old boy with complex partial seizures.. His MRI showed symmetrical signal abnormality in the bilateral parietooccipital lobe accompanied by mild gliosis and volume loss. During a 3-day long-term video-EEG monitoring, he had cardiac arrest at the end of one of his seizures that was secondarily generalized. The second one was a 42-year-old veteran with penetrating head trauma in the left frontal lobe due to shell injury. During long-term video-EEG monitoring, he had one generalized tonic-clonic seizure accompanied by bradycardia and cardiac asystole. Asystoles could have a role in the incidence of sudden unexpected death in epilepsy (SUDEP), meaning that the presence of ictal bradycardia is a risk factor for SUDEP. In cases of epileptic cardiac dysrhythmia, prolonged simultaneous EEG/ECG monitoring may be required. Cardiological investigation should be included in epilepsy management.

No MeSH data available.


Related in: MedlinePlus