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  • Title: Ictal asystole: case report with review of literature.
    Author: Marynissen T, Govers N, Vydt T.
    Journal: Acta Cardiol; 2012 Aug; 67(4):461-4. PubMed ID: 22998002.
    Abstract:
    Cardiac arrhythmias are frequently observed during epileptic seizures. Mostly they are benign, but severe bradycardia and asystole occur in 0.27-0.5% of patients who have seizures on video-EEG monitoring units. Especially patients with partial seizures involving the insular, orbital frontal and anterior temporal lobe regions, are at risk. Ictal bradycardia could be a cause of SUDEP (sudden unexpected death in epilepsy) and pacemaker insertion might therefore improve survival in selected cases, although more research is needed to prove this. We present a case of prolonged ictal asystole in a patient with newly diagnosed partial epilepsy originating from the temporal lobe.
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