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Ictal asystole mimicking seizure deterioration in temporal lobe epilepsy Volume 17, issue 3, September 2015

TEST YOURSELF

An epileptic patient known to suffer from rare focal epileptic seizures due to temporal cavernoma describes recurrence of falls with loss of consciousness and jerks of the entire body. The patient’s antiepileptic medication previously controlled secondary generalized seizures over a period of years.

(1) What would be your diagnosis?
A. Secondary generalized seizure
B. Atonic seizure
C. Ictal asystole
D. Myoclonic seizure


(2) How would you evaluate the patient?
A. Frequent controls at the outpatient clinic
B. Cardiac monitoring
C. Video-EEG monitoring
D. Magnetic resonance imaging of the brain


(3) What treatment would you suggest?
A. Cardiac pacemaker and epilepsy surgery
B. Addition of a new antiepileptic drug
C. Vagal nerve stimulation
D. Anti-arrhythmic drugs

 

 

 

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Answers

(1) C.

(2) C.

(3) A.

 

 

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