CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD

Objective. To conduct a survey of adult patients with focal epilepsy and ictal disturbances of cardiac rhythm and conduction, considering the disease classification, anamnesis, clinical, electroencephalographic and neuroimaging data.Materials and methods. We selected 70 patients aged 18 to 51 years...

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Main Authors: Y. V. Rubleva, R. A. Teryan, G. G. Avakyan, A. A. Savenkov, Y. V. Solomatin, O. M. Oleynikova, A. M. Teplysheva, M. B. Mironov, T. M. Krasilshchikova, S. G. Burd
Format: Article
Language:Russian
Published: IRBIS LLC 2018-05-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/389
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author Y. V. Rubleva
R. A. Teryan
G. G. Avakyan
A. A. Savenkov
Y. V. Solomatin
O. M. Oleynikova
A. M. Teplysheva
M. B. Mironov
T. M. Krasilshchikova
S. G. Burd
author_facet Y. V. Rubleva
R. A. Teryan
G. G. Avakyan
A. A. Savenkov
Y. V. Solomatin
O. M. Oleynikova
A. M. Teplysheva
M. B. Mironov
T. M. Krasilshchikova
S. G. Burd
author_sort Y. V. Rubleva
collection DOAJ
description Objective. To conduct a survey of adult patients with focal epilepsy and ictal disturbances of cardiac rhythm and conduction, considering the disease classification, anamnesis, clinical, electroencephalographic and neuroimaging data.Materials and methods. We selected 70 patients aged 18 to 51 years old with confirmed diagnoses of focal epilepsy with epileptic seizures persisting at the time of the study on the background of antiepileptic therapy without concomitant cardiac disorders but with confirmed ictal changes in the cardiac rhythm and conduction.Results. Among the examined patients, those with long lasting “structural focal epilepsy”, frequent epileptic attacks, temporal and frontal-temporal epileptogenic foci, taking several antiepileptic drugs, prevailed. Most of the heart rhythm and conduction abnormalities occurred in male patients with serial paroxysms, bilateral tonic-clonic seizures, or sleep seizures.Сonclusion. The timely detection and examination of patients with high risk of ictal arrhythmias is able to prevent disturbances of cardiac rhythm and heart conduction during epileptic seizures, including those with a life-threatening potential.
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spelling doaj.art-4afd24ffb5b6469d9e104c33a76b9d7e2023-03-13T07:44:16ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882018-05-01101142410.17749/2077-8333.2018.10.1.014-024369CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIODY. V. Rubleva0R. A. Teryan1G. G. Avakyan2A. A. Savenkov3Y. V. Solomatin4O. M. Oleynikova5A. M. Teplysheva6M. B. Mironov7T. M. Krasilshchikova8S. G. Burd9N. I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaNational medical research center of preventive medicine of the Ministry of health of the Russian FederationN. I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaZhadkevich Clinical Hospital, Department of Health, the City of MoscowThe District Healthcare Facility “Diagnostic clinical center No. 1 with the Department of Healthcare of Moscow”N. I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaThe District Healthcare Facility “Diagnostic clinical center No. 62 with the Department of Healthcare of Moscow”Medical Center for Pediatric Neurology and PediatricsN. I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaN. I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaObjective. To conduct a survey of adult patients with focal epilepsy and ictal disturbances of cardiac rhythm and conduction, considering the disease classification, anamnesis, clinical, electroencephalographic and neuroimaging data.Materials and methods. We selected 70 patients aged 18 to 51 years old with confirmed diagnoses of focal epilepsy with epileptic seizures persisting at the time of the study on the background of antiepileptic therapy without concomitant cardiac disorders but with confirmed ictal changes in the cardiac rhythm and conduction.Results. Among the examined patients, those with long lasting “structural focal epilepsy”, frequent epileptic attacks, temporal and frontal-temporal epileptogenic foci, taking several antiepileptic drugs, prevailed. Most of the heart rhythm and conduction abnormalities occurred in male patients with serial paroxysms, bilateral tonic-clonic seizures, or sleep seizures.Сonclusion. The timely detection and examination of patients with high risk of ictal arrhythmias is able to prevent disturbances of cardiac rhythm and heart conduction during epileptic seizures, including those with a life-threatening potential.https://www.epilepsia.su/jour/article/view/389focal epilepsyepileptic seizuresvideo eeg monitoringantiepileptic drugscardiac rhythm and conduction disorders
spellingShingle Y. V. Rubleva
R. A. Teryan
G. G. Avakyan
A. A. Savenkov
Y. V. Solomatin
O. M. Oleynikova
A. M. Teplysheva
M. B. Mironov
T. M. Krasilshchikova
S. G. Burd
CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD
Эпилепсия и пароксизмальные состояния
focal epilepsy
epileptic seizures
video eeg monitoring
antiepileptic drugs
cardiac rhythm and conduction disorders
title CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD
title_full CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD
title_fullStr CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD
title_full_unstemmed CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD
title_short CLINICAL, NEURO-PHYSIOLOGICAL AND NEURO-VISUAL ANALYSIS OF ADULT PATIENTS WITH FOCAL EPILEPSY AND ABNORMALITIES OF CARDIAC RHYTHM AND CONDUCTION IN THE ICTAL PERIOD
title_sort clinical neuro physiological and neuro visual analysis of adult patients with focal epilepsy and abnormalities of cardiac rhythm and conduction in the ictal period
topic focal epilepsy
epileptic seizures
video eeg monitoring
antiepileptic drugs
cardiac rhythm and conduction disorders
url https://www.epilepsia.su/jour/article/view/389
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