Ictal asystole mimicking seizure deterioration in temporal lobe epilepsy
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
John Libbey Eurotext Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We report on a patient with temporal lobe epilepsy, secondary to a left lateral temporal cavernoma, in whom the change in seizure semiology suggested recurrence of secondary generalized seizures. Anticonvulsive medication previously controlled secondary generalized seizures over a period of years but focal seizures continued at a lower rate. Continuous video-EEG monitoring revealed ictal asystole associated with myoclonic syncope and falls during focal seizures arising from the left temporal lobe. After implantation of a cardiac pacemaker, no more falls occurred during the focal seizures. In conclusion, recurrence of seizure-associated falls is typically attributed to recurrence of secondary generalized seizures, however, ictal asystole should be considered in selected epilepsy patients as a differential diagnosis of falls. [Published with video sequence]
Açıklama
Anahtar Kelimeler
Ictal Asystole, Syncope, Seizure-Associated Fall
Kaynak
Epileptic Disorders
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
17
Sayı
3
