Ravat Shreyas Hasmukh, Bhatti Amit Ashok, Shah Mansi Viraj, Muzumdar Dattatraya P, Ravat Sangeeta Hasmukh
Department of Neurology and Neurosurgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.
Ann Indian Acad Neurol. 2017 Jan-Mar;20(1):55-57. doi: 10.4103/0972-2327.199916.
Seizures are associated with fascinatingly varied cardiac and autonomic manifestations, of which ictal tachycardia is common, and asystole and bradycardia are rare. Ictal asystole (IA), an often unsought autonomic phenomenon, occurs most commonly with temporal followed by frontal lobe seizures. Prolonged IA may lead to cerebral anoxic ischemia. As the mysteries of sudden unexplained death in epilepsy are unraveled, it is quite possible that the key to it lays within these seizure-induced cardiac rhythm abnormalities. We present a case of a young male with temporal lobe epilepsy due to left mesial temporal sclerosis with prolonged IA, which was successfully managed with epilepsy surgery.
癫痫发作与多种多样令人着迷的心脏和自主神经表现相关，其中发作期心动过速很常见，而心脏停搏和心动过缓则较为罕见。发作期心脏停搏（IA）是一种常被忽视的自主神经现象，最常发生于颞叶癫痫发作，其次是额叶癫痫发作。长时间的IA可能导致脑缺氧缺血。随着癫痫猝死之谜的揭开，很有可能其关键就在于这些由癫痫发作引起的心律异常。我们报告一例因左侧内侧颞叶硬化导致颞叶癫痫的年轻男性患者，其出现了长时间的IA，经癫痫手术成功治疗。
