Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery
Seizures are associated with fascinatingly varied cardiac and autonomic manifestations, of which ictal tachycardia is common, and asystole and bradycardia are rare. Ictal asystole (IA), an often unsought autonomic phenomenon, occurs most commonly with temporal followed by frontal lobe seizures. Prol...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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Series: | Annals of Indian Academy of Neurology |
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Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2017;volume=20;issue=1;spage=55;epage=57;aulast=Ravat |
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author | Shreyas Hasmukh Ravat Amit Ashok Bhatti Mansi Viraj Shah Dattatraya P Muzumdar Sangeeta Hasmukh Ravat |
author_facet | Shreyas Hasmukh Ravat Amit Ashok Bhatti Mansi Viraj Shah Dattatraya P Muzumdar Sangeeta Hasmukh Ravat |
author_sort | Shreyas Hasmukh Ravat |
collection | DOAJ |
description | Seizures are associated with fascinatingly varied cardiac and autonomic manifestations, of which ictal tachycardia is common, and asystole and bradycardia are rare. Ictal asystole (IA), an often unsought autonomic phenomenon, occurs most commonly with temporal followed by frontal lobe seizures. Prolonged IA may lead to cerebral anoxic ischemia. As the mysteries of sudden unexplained death in epilepsy are unraveled, it is quite possible that the key to it lays within these seizure-induced cardiac rhythm abnormalities. We present a case of a young male with temporal lobe epilepsy due to left mesial temporal sclerosis with prolonged IA, which was successfully managed with epilepsy surgery. |
first_indexed | 2024-12-10T21:48:42Z |
format | Article |
id | doaj.art-c2489b76c7f94d73bb8e8037d6c23920 |
institution | Directory Open Access Journal |
issn | 0972-2327 1998-3549 |
language | English |
last_indexed | 2024-12-10T21:48:42Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Annals of Indian Academy of Neurology |
spelling | doaj.art-c2489b76c7f94d73bb8e8037d6c239202022-12-22T01:32:16ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492017-01-01201555710.4103/0972-2327.199916Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgeryShreyas Hasmukh RavatAmit Ashok BhattiMansi Viraj ShahDattatraya P MuzumdarSangeeta Hasmukh RavatSeizures are associated with fascinatingly varied cardiac and autonomic manifestations, of which ictal tachycardia is common, and asystole and bradycardia are rare. Ictal asystole (IA), an often unsought autonomic phenomenon, occurs most commonly with temporal followed by frontal lobe seizures. Prolonged IA may lead to cerebral anoxic ischemia. As the mysteries of sudden unexplained death in epilepsy are unraveled, it is quite possible that the key to it lays within these seizure-induced cardiac rhythm abnormalities. We present a case of a young male with temporal lobe epilepsy due to left mesial temporal sclerosis with prolonged IA, which was successfully managed with epilepsy surgery.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2017;volume=20;issue=1;spage=55;epage=57;aulast=RavatAnterior temporal lobectomyictal asystolemesial temporal sclerosistemporal lobe epilepsy |
spellingShingle | Shreyas Hasmukh Ravat Amit Ashok Bhatti Mansi Viraj Shah Dattatraya P Muzumdar Sangeeta Hasmukh Ravat Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery Annals of Indian Academy of Neurology Anterior temporal lobectomy ictal asystole mesial temporal sclerosis temporal lobe epilepsy |
title | Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery |
title_full | Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery |
title_fullStr | Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery |
title_full_unstemmed | Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery |
title_short | Ictal asystole: A rare cardiac manifestation of temporal lobe epilepsy, treated with epilepsy surgery |
title_sort | ictal asystole a rare cardiac manifestation of temporal lobe epilepsy treated with epilepsy surgery |
topic | Anterior temporal lobectomy ictal asystole mesial temporal sclerosis temporal lobe epilepsy |
url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2017;volume=20;issue=1;spage=55;epage=57;aulast=Ravat |
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