Lahey Hospital and Medical Center, Department of Neurology, Burlington, Massachusetts
Thomas Jefferson University Hospitals, Department of Medicine, Division of Cardiology, Philadelphia, Pennsylvania
Jefferson Medical College, Department of Neurology, Jefferson Comprehensive Epilepsy Center, 900 Walnut St, Suite 200, Philadelphia, Pennsylvania, USA
Correspondence: Joanna Suski
Lahey Hospital and Medical Center,
Burlington Ringgold standard institution,
Department of Neurology,
We describe a case of ictal asystole in a patient with posterior reversible encephalopathy syndrome (PRES), which has never been described previously. Ictal asystole is rare and has possible serious medical consequences, including syncope, and may be a potential mechanism for sudden unexpected death in epilepsy (SUDEP). Awareness that PRES may be observed with recurrent ictal asystole may aid in the recognition and treatment of seizures in this condition and the prevention of asystole-associated complications.