Internal Med Medical News about partial epilepsy; ictal asystole; cardiac pacemaker

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Ictal asystole - Late manifestation of partial epilepsy and importance of cardiac pacemaker
Seizure - European Journal of Epilepsy, 06/18/09

Zubair S et al. - Ictal asystole (IA) is a life-threatening complication of epilepsy and is a potential mechanism of sudden unexplained death in epilepsy (SUDEP). This entity has been proven by multiple case reports and small case series. The management of the patients with IA is still in early phase of discussion. The authors report a patient with medically intractable cryptogenic partial epilepsy for 27 years who presented with new onset drop attacks. During the epilepsy monitoring unit stay he was found to have a left fronto-temporal partial onset seizures which triggered brady-arrhythmia followed by asystole for 20 s. A cardiac pacemaker was implanted and the patient was followed for 2 years. He continued to have simple and complex partial seizures but did not have drop attacks anymore.

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