Ictal asystole with isolated syncope: A case report and literature review

Wenyang Li, Lakshman Arcot Jayagopal, Olga Taraschenko

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Ictal syncope is a rare phenomenon that occurs in association with 0.002–0.4% of seizures. In the absence of other symptoms, seizures presenting with syncope may be challenging to diagnose. We report a case of a previously healthy male who developed recurrent episodes of syncope with postictal confusion and was later diagnosed with temporal seizures. The patient was successfully treated with anti-seizure drugs and placement of a cardiac pacemaker. In a systematic review of literature, we summarize the clinical characteristics of patients with ictal asystole and isolated syncope. Seizures should be considered in patients with syncope of uncertain etiology.

Original languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalEpilepsy and Behavior Case Reports
Volume11
DOIs
StatePublished - Jan 1 2019

Keywords

  • Asystole
  • Focal seizures
  • Ictal bradycardia
  • Ictal syncope
  • Temporal lobe epilepsy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

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