发作性心搏停止：病例报告
Ictal asystole: a case presentation.
作者信息
Kishk Nirmeen, Nawito Amani, El-Damaty Ahmed, Ragab Amany
机构信息
Neurology Department, Faculty of Medicine, Kasr Alainy Hospital, Cairo University, Cairo, Egypt.
Clinical Neurophysiology Unit, Faculty of Medicine, Kasr Alainy Hospital, Cairo University, Cairo, Egypt.
出版信息
BMC Neurol. 2018 Jul 21;18(1):100. doi: 10.1186/s12883-018-1105-5.
BACKGROUND
Epileptic seizures can lead to cardiac arrhythmias. The arrhythmias may be in the form of tachycardia, bradycardia or asystole. Ictal bradycardia and asystole can lead to sudden unexpected death.
CASE PRESENTATION
A case report of a 40-year-old male with complex partial temporal lobe epilepsy. He has coincident attacks of fall and pallor. The patient underwent simultaneous electrocardiogram (ECG) and video electroencephalogram (EEG) monitoring. The slow activity in EEG coincide with the appearance of bradycardia in ECG then cardiac asystole which clinically correspond to the patient syncope. After insertion of a cardiac pacemaker, only complex partial attacks develop with a marked reduction in frequency and no more fall attacks.
CONCLUSION
Epileptic seizures can present with cardiac arrhythmias, with ictal asystole leading to sudden unexpected death. Simultaneous EEG and ECG are essential for the diagnosis. A cardiac pacemaker can be lifesaving for patients with ictal arrhythmias.
背景
癫痫发作可导致心律失常。心律失常可能表现为心动过速、心动过缓或心搏停止。发作期心动过缓和心搏停止可导致意外猝死。
病例报告
一名40岁男性，患有复杂部分性颞叶癫痫。他同时伴有跌倒和面色苍白发作。患者接受了同步心电图（ECG）和视频脑电图（EEG）监测。脑电图中的慢波活动与心电图中出现的心动过缓随后的心搏停止同时出现，临床上与患者的晕厥相对应。植入心脏起搏器后，仅出现复杂部分性发作，发作频率显著降低，且不再有跌倒发作。
结论
癫痫发作可伴有心律失常，发作期心搏停止可导致意外猝死。同步脑电图和心电图对诊断至关重要。心脏起搏器对发作期心律失常患者可挽救生命。
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