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

Epilepsy and Behavior Case Reports

Majid Barakatain¹  Mohammad Basiratnia¹  Houshang Moein¹  Mohammadmehran Poorsina²  Masoumeh Najafi Ziarani²  Nahid Beladimoghadam²  Elham Rahimian²  Jafar Mehvari²  Seyed Sohrab Hashemi Fesharaki²  Marzieh Gharekhani²  Fatemeh Fadaie²  Shirin Omidi³ 

[1] Isfahan Neurosciences Research Center, Isfahan, Iran;Shefa Neuroscience Research Center, Khatamolanbia Hospital, Tehran, Iran;Tehran University of Medical Sciences, Tehran, Iran;

关键词: Ictal asystole;    Seizure;    Cardiac arrest;    SUDEP;   

DOI  :  10.1016/j.ebcr.2014.07.001

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown