Bradel Laura, Akula Ravi S
Internal Medicine, Arnot Ogden Medical Center, Elmira, USA.
Adult Cardiology, Arnot Ogden Medical Center, Elmira, USA.
Cureus. 2021 Jul 29;13(7):e16736. doi: 10.7759/cureus.16736. eCollection 2021 Jul.
Ictal asystole is a long-documented medical condition that causes pauses during epileptic episodes. This condition has garnered attention due to resulting accidents. The mechanism of action and treatment guidelines are not well established. We present a case of a 39-year-old male truck driver who presented with dizziness, lightheadedness, confusion, and amnesia with a history of two motor vehicle accidents within one week. During his second hospitalization he underwent pacemaker placement due to presumed sinus node dysfunction. The patient returned with recurrent symptoms and was found to have epileptic focus of the left anterior temporal lobe on electroencephalogram and was thought to have ictal asystole. In this report, we focus on the importance of evaluating for neurogenic cause of cardiac arrythmias.
发作性心搏停止是一种有长期文献记载的病症，会在癫痫发作期间导致心跳暂停。由于引发的事故，这种病症已引起关注。其作用机制和治疗指南尚未明确确立。我们报告一例39岁男性卡车司机的病例，他出现头晕、头重脚轻、意识模糊和失忆症状，且在一周内发生过两起机动车事故。在他第二次住院期间，因推测存在窦房结功能障碍而接受了起搏器植入。患者复发症状后复诊，脑电图检查发现左前颞叶有癫痫病灶，被认为患有发作性心搏停止。在本报告中，我们着重强调评估心律失常神经源性病因的重要性。
