Epileptic Disorders
MENUIctal asystole mimicking seizure deterioration in temporal lobe epilepsy Volume 17, numéro 3, September 2015
- Mots-clés : ictal asystole, syncope, seizure-associated fall
- DOI : 10.1684/epd.2015.0758
- Page(s) : 332-5
- Année de parution : 2015
We report on a patient with temporal lobe epilepsy, secondary to a left lateral temporal cavernoma, in whom the change in seizure semiology suggested recurrence of secondary generalized seizures. Anticonvulsive medication previously controlled secondary generalized seizures over a period of years but focal seizures continued at a lower rate. Continuous video-EEG monitoring revealed ictal asystole associated with myoclonic syncope and falls during focal seizures arising from the left temporal lobe. After implantation of a cardiac pacemaker, no more falls occurred during the focal seizures. In conclusion, recurrence of seizure-associated falls is typically attributed to recurrence of secondary generalized seizures, however, ictal asystole should be considered in selected epilepsy patients as a differential diagnosis of falls. [Published with video sequence]