Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole

Background. Ictal arrhythmia is a rare condition that causes arrhythmic manifestations induced by epileptic seizures, including asystole or bradycardia. Ictal asystole (IA) is a very rare condition found in patients undergoing video-encephalography (EEG) monitoring. It is often related to temporal l...

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Main Authors: Sumika Ouchida, Kaitlyn Parratt, Armin Nikpour, Greg Fairbrother
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2024/1299282
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author Sumika Ouchida
Kaitlyn Parratt
Armin Nikpour
Greg Fairbrother
author_facet Sumika Ouchida
Kaitlyn Parratt
Armin Nikpour
Greg Fairbrother
author_sort Sumika Ouchida
collection DOAJ
description Background. Ictal arrhythmia is a rare condition that causes arrhythmic manifestations induced by epileptic seizures, including asystole or bradycardia. Ictal asystole (IA) is a very rare condition found in patients undergoing video-encephalography (EEG) monitoring. It is often related to temporal lobe epilepsy and can cause syncope, which can lead to injury or even death. Case Presentation. Two patients with epilepsy showed symptoms of syncope. Both patients underwent 4-day ambulatory EEG tests and were diagnosed with IA. Following the tests, the patients were implanted with a permanent pacemaker, and one of them underwent a temporal lobectomy. As a result of these procedures, the patients experienced a reduction in episodes of symptomatic syncope. Conclusion. Patients with ictal asystole and symptomatic ictal bradycardia are at increased risk of falls due to seizures. Although there are no specific guidelines for managing this condition, antiseizure medications, epilepsy surgery, and cardiac pacemaker implantation have been effective treatments.
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spelling doaj-art-42680f5580de4d398ae01c06286e8ac82025-02-03T05:54:35ZengWileyCase Reports in Neurological Medicine2090-66762024-01-01202410.1155/2024/1299282Syncope vs. Seizure: Ictal Bradycardia and Ictal AsystoleSumika Ouchida0Kaitlyn Parratt1Armin Nikpour2Greg Fairbrother3Neurology DepartmentNeurology DepartmentNeurology DepartmentSchool of Health & Human SciencesBackground. Ictal arrhythmia is a rare condition that causes arrhythmic manifestations induced by epileptic seizures, including asystole or bradycardia. Ictal asystole (IA) is a very rare condition found in patients undergoing video-encephalography (EEG) monitoring. It is often related to temporal lobe epilepsy and can cause syncope, which can lead to injury or even death. Case Presentation. Two patients with epilepsy showed symptoms of syncope. Both patients underwent 4-day ambulatory EEG tests and were diagnosed with IA. Following the tests, the patients were implanted with a permanent pacemaker, and one of them underwent a temporal lobectomy. As a result of these procedures, the patients experienced a reduction in episodes of symptomatic syncope. Conclusion. Patients with ictal asystole and symptomatic ictal bradycardia are at increased risk of falls due to seizures. Although there are no specific guidelines for managing this condition, antiseizure medications, epilepsy surgery, and cardiac pacemaker implantation have been effective treatments.http://dx.doi.org/10.1155/2024/1299282
spellingShingle Sumika Ouchida
Kaitlyn Parratt
Armin Nikpour
Greg Fairbrother
Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole
Case Reports in Neurological Medicine
title Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole
title_full Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole
title_fullStr Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole
title_full_unstemmed Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole
title_short Syncope vs. Seizure: Ictal Bradycardia and Ictal Asystole
title_sort syncope vs seizure ictal bradycardia and ictal asystole
url http://dx.doi.org/10.1155/2024/1299282
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AT arminnikpour syncopevsseizureictalbradycardiaandictalasystole
AT gregfairbrother syncopevsseizureictalbradycardiaandictalasystole