Epileptic Disorders
MENUSyncope due to ictal asystole: a challenging semiology Volume 22, issue 5, October 2020
TEST YOURSELF
(1) What is the most frequent localization of seizures that causes heart rhythm slowing (bradycardia or asystole)?
(2) In patients with ictal cardiac rhythm abnormalities, when should a cardiac pacemaker be considered?
Answers
(1) Temporal lobe, especially with left hemisphere onset.
(2) When the risk of recurrence of seizures with cardiac rhythm abnormalities is high or when the slowing of the cardiac rhythm is significant (i.e. asystole lasting for longer than six seconds).