Ictal Asystole Induced by Right Posterior Quadrant Epilepsy: Report of a Radically Treated Case.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30223038.
- Also identified by DOI 10.1016/j.wneu.2018.09.030.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Ictal asystole (IA) and ictal bradycardia (IB) are mainly seen with temporal or frontal lobe epilepsy. Many patients with these conditions undergo cardiac pacemaker therapy but not epilepsy surgery. We report the case of a 15-year-old boy with IA and IB secondary to right posterior quadrant epilepsy (PoQE) who underwent right posterior quadrant disconnection, but not cardiac pacemaker implantation. He has remained free from daily epileptic seizures, IA, and IB for more than 6 months postoperatively. This is the first report of a radically treated case with IA and IB caused by PoQE. Both temporofrontal lobe epilepsy and PoQE caused the IA and IB. Because a cardiac pacemaker only addresses arrhythmia, not epileptic seizures, radical treatment for both epilepsy and arrhythmia may be warranted for patients with medically intractable epilepsy.
Medical subject headings
- Bradycardia
- Dominance, Cerebral
- Epilepsies, Partial
- Epilepsy, Complex Partial
- Heart Arrest