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Khalil M, Shukralla AA, Kilbride R, et al. Ictal asystole during long-term video-EEG; semiology, localization, and intervention. Epilepsy Behav Rep. 2020;15:100416doi: 10.1016/j.ebr.2020.100416.
Khalil, M., Shukralla, A. A., Kilbride, R., Mullins, G., Widdess-Walsh, P., Delanty, N., & El-Naggar, H. (2021). Ictal asystole during long-term video-EEG; semiology, localization, and intervention. Epilepsy & behavior reports, 15100416. https://doi.org/10.1016/j.ebr.2020.100416
Khalil, Mohamed, et al. "Ictal asystole during long-term video-EEG; semiology, localization, and intervention." Epilepsy & behavior reports vol. 15 (2021): 100416. doi: https://doi.org/10.1016/j.ebr.2020.100416
Khalil M, Shukralla AA, Kilbride R, Mullins G, Widdess-Walsh P, Delanty N, El-Naggar H. Ictal asystole during long-term video-EEG; semiology, localization, and intervention. Epilepsy Behav Rep. 2020 Dec 30;15:100416. doi: 10.1016/j.ebr.2020.100416. eCollection 2021. PMID: 33437961; PMCID: PMC7786025.
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Epilepsy Behav Rep. 2020 Dec 30;15:100416. doi: 10.1016/j.ebr.2020.100416. eCollection 2021.

Ictal asystole during long-term video-EEG; semiology, localization, and intervention.

Epilepsy & behavior reports

Mohamed Khalil, Arif Ali Shukralla, Ronan Kilbride, Gerrard Mullins, Peter Widdess-Walsh, Norman Delanty, Hany El-Naggar

Affiliations

  1. , ,.
  2. ,.

PMID: 33437961 PMCID: PMC7786025 DOI: 10.1016/j.ebr.2020.100416

Abstract

Ictal arrhythmias are disturbances of cardiac conduction that occur during clinical or electrographic seizures. Ictal asystole (IA) is rare, and its incidence can range from 0.3-0.4% in patients with epilepsy who were monitored by video-EEG (van der Lende et al., 2015). We report on ten patients (six males and four females) with an age ranging from 31 to 70 years old) who were monitored in our video-EEG (VEEG) unit over the last eight years. These patients were selected based on the history of documented ictal asystole during inpatient VEEG monitoring). In our series the mean latency from the seizure onset to the onset of ictal asystole was 22 seconds and the mean duration of the IA was 15.8 seconds. During the asystolic phase the seizures may clinically continue or syncopal signs may supervene. In our case series all the patients had either left or right temporal lobe epilepsy, six of which were lesional. We found two patterns of ictal semiology in our series. The first group of patients included five patients who experienced a rapid onset of IA in their seizure and the second group where the latency of ictal asystole was relatively late. All our cohort had a permanent pacemaker following the diagnosis, six of these patients have been event free since placement.

© 2020 The Author(s).

Keywords: Ictal arrhythmias; Ictal asystole; Permanent pacemaker

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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