John Libbey Eurotext

Musicogenic epilepsy with ictal asystole: a video-EEG case report Volume 23, numéro 4, August 2021

Vidéos

  • Musicogenic epilepsy with ictal asystole: a video-EEG case report
  • Musicogenic epilepsy with ictal asystole: a video-EEG case report

Illustrations

  • Figure 1
  • Figure 2
Auteurs
UF EEG-Epileptologie, Service de Neurologie, University Hospitals of Nice, France
* Correspondence: Pierre Thomas Unité Fonctionnelle EEG/Epileptologie, Service de Neurologie, Hôpital Pasteur, 30, Voie Romaine, B.P. 69 06002 Nice Cedex 01, France

Musicogenic seizures and ictal asystole are two rare features mainly encountered in temporal lobe epilepsy. We present the first case of musicogenic epilepsy with ictal asystole in a patient with right temporal lobe epilepsy, confirmed by video-EEG. The pathophysiological mechanism of both conditions remains uncertain. These two features appeared after many years of epilepsy in our patient, and although this association might be coincidental, common mechanisms could be involved, including remodelling of neural connections or seizure propagation to a singular zone. This case also highlights the need for precise electroclinical assessment of seizures that change clinically over time, particularly when falls occur after a certain period of latency, suggesting cardiac consequences of the seizures.