Guldiken, BaburhanHartl, ElisabethRemi, JanNoachtar, Soheyl2024-06-122024-06-1220151294-93611950-6945https://doi.org/10.1684/epd.2015.0758https://hdl.handle.net/20.500.14551/21912We 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]en10.1684/epd.2015.0758info:eu-repo/semantics/closedAccessIctal AsystoleSyncopeSeizure-Associated FallArticle173332335Q4WOS:0003623489000152-s2.0-8494225778626235365Q2