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  • Title: Ictal asystole mimicking seizure deterioration in temporal lobe epilepsy.
    Author: Guldiken B, Hartl E, Rémi J, Noachtar S.
    Journal: Epileptic Disord; 2015 Sep; 17(3):332-5. PubMed ID: 26235365.
    Abstract:
    We report on a patient with temporal lobe epilepsy, secondary to a left lateral temporal cavernoma, in whom the change in seizure semiology suggested recurrence of secondary generalized seizures. Anticonvulsive medication previously controlled secondary generalized seizures over a period of years but focal seizures continued at a lower rate. Continuous video-EEG monitoring revealed ictal asystole associated with myoclonic syncope and falls during focal seizures arising from the left temporal lobe. After implantation of a cardiac pacemaker, no more falls occurred during the focal seizures. In conclusion, recurrence of seizure-associated falls is typically attributed to recurrence of secondary generalized seizures, however, ictal asystole should be considered in selected epilepsy patients as a differential diagnosis of falls. [Published with video sequence].
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