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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Main Authors: Shreyas Hasmukh Ravat, Amit Ashok Bhatti, Mansi Viraj Shah, Dattatraya P Muzumdar, Sangeeta Hasmukh Ravat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
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.
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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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