Difference between revisions of "Brain seizes, heart ceases: a case of ictal asystole"

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(Created page with "''Lim EC, Lim SH, and Wilder-Smith E (2000) Brain seizes, heart ceases: a case of ictal asystole. J Neurol Neurosurg Psy- chiatry 69:4 557–9.'' '''[https://www.ncbi.nlm.nih...")
 
 
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''Lim EC, Lim SH, and Wilder-Smith E (2000) Brain seizes, heart ceases: a case of ictal asystole. J Neurol Neurosurg Psy- chiatry 69:4 557–9.''
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'''[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737151/pdf/v069p00557.pdf Link to Article]'''
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'''Abstract:''' Epileptic seizures commonly result in changes of cardiac rate. Although tachycardias are much more frequent, ictal bradycardia and asystole may be life threatening and contribute to the syndrome of sudden unexplained death in epileptic patients. Differentiation between primary cardiac and cerebrogenic bradyarrhythmia is possible with the use of simultaneous EEG and ECG recording. The correct identification of ictal bradycardia and asystole is important as treatment needs to consider both optimal anticonvulsant therapy and the implantation of a cardiac demand pacemaker. We report ictal asystole in a patient with a left temporal lobe seizure identified by simultaneous ECG and scalp EEG recording.
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Lim EC, Lim SH, and Wilder-Smith E (2000) Brain seizes, heart ceases: a case of ictal asystole. J Neurol Neurosurg Psy- chiatry 69:4 557–9.
  
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737151/pdf/v069p00557.pdf
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Epileptic seizures commonly result in changes of cardiac rate. Although tachycardias are much more frequent, ictal bradycardia and asystole may be life threatening and contribute to the syndrome of sudden unexplained death in epileptic patients. Differentiation between primary cardiac and cerebrogenic bradyarrhythmia is possible with the use of simultaneous EEG and ECG recording. The correct identification of ictal bradycardia and asystole is important as treatment needs to consider both optimal anticonvulsant therapy and the implantation of a cardiac demand pacemaker. We report ictal asystole in a patient with a left temporal lobe seizure identified by simultaneous ECG and scalp EEG recording.
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Latest revision as of 13:12, 17 June 2019


Lim EC, Lim SH, and Wilder-Smith E (2000) Brain seizes, heart ceases: a case of ictal asystole. J Neurol Neurosurg Psy- chiatry 69:4 557–9.

Link to Article

Abstract: Epileptic seizures commonly result in changes of cardiac rate. Although tachycardias are much more frequent, ictal bradycardia and asystole may be life threatening and contribute to the syndrome of sudden unexplained death in epileptic patients. Differentiation between primary cardiac and cerebrogenic bradyarrhythmia is possible with the use of simultaneous EEG and ECG recording. The correct identification of ictal bradycardia and asystole is important as treatment needs to consider both optimal anticonvulsant therapy and the implantation of a cardiac demand pacemaker. We report ictal asystole in a patient with a left temporal lobe seizure identified by simultaneous ECG and scalp EEG recording.

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