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局灶性癫痫合并创伤性硬膜下血肿时的心脏停搏。

Asystole in focal epilepsy complicating a traumatic subdural hematoma.

作者信息

Lau Yuk-Ming, Lo Chi-Hung, Lee Kathy Lai-Fun, Lau Chu-Pak

机构信息

Cardiac Health Heart Centre, Room 1303, Pedder Building, Hong Kong.

Department of Medicine, St. Paul׳s Hospital, Eastern Hospital Road, Causeway Bay, Hong Kong.

出版信息

J Arrhythm. 2017 Aug;33(4):330-332. doi: 10.1016/j.joa.2017.01.004. Epub 2017 Feb 16.

DOI:10.1016/j.joa.2017.01.004
PMID:28765766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5529326/
Abstract

Ictal asystole due to sinus node suppression is a cause of sudden unexplained death in epilepsy. Here, for the first time, we describe a complete atrioventricular nodal block in a patient with non-compressive traumatic subdural hematoma, who developed ictal asystole as a delayed presentation. A leadless VVI pacemaker (ventricular paced, ventricular sensed, and pacing inhibited in response to a sensed beat) was implanted as a preventive measure against seizure-related heart block.

摘要

因窦房结抑制导致的发作性心搏停止是癫痫患者不明原因猝死的一个原因。在此，我们首次描述了一名患有非压迫性创伤性硬膜下血肿的患者出现完全性房室传导阻滞，其发作性心搏停止为延迟表现。作为预防与癫痫相关的心脏传导阻滞的措施，植入了无导线VVI起搏器（心室起搏、心室感知以及感知到心跳后起搏抑制）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da44/5529326/41c14511a7ee/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da44/5529326/c6b6ef29d1b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da44/5529326/41c14511a7ee/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da44/5529326/c6b6ef29d1b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da44/5529326/41c14511a7ee/gr2.jpg

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本文引用的文献

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Long-Term Follow-Up of Ictal Asystole in Temporal Lobe Epilepsy: Is Permanent Pacemaker Therapy Needed?颞叶癫痫发作性心搏停止的长期随访：是否需要永久性起搏器治疗？
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2
Ictal asystole and ictal syncope: insights into clinical management.发作性心搏停止与发作性晕厥：临床管理见解
Circ Arrhythm Electrophysiol. 2015 Feb;8(1):159-64. doi: 10.1161/CIRCEP.114.001667. Epub 2014 Nov 12.
3
High-grade atrioventricular block triggered by spontaneous and stimulation-induced epileptic activity in the left temporal lobe.
左颞叶自发性和刺激诱发的癫痫活动引发的高度房室传导阻滞。
Epilepsia. 2004 Dec;45(12):1640-4. doi: 10.1111/j.0013-9580.2004.34403.x.
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Patients with refractory seizures.难治性癫痫患者。
N Engl J Med. 1999 May 20;340(20):1565-70. doi: 10.1056/NEJM199905203402008.
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Insula of the old world monkey. II: Afferent cortical input and comments on the claustrum.旧世界猴的脑岛。II：传入性皮质输入及关于屏状核的评论
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