Cardiac asystole during right frontal lobe seizures: A case report

A. Mascia; P. P. Quarato; A. Sparano; V. Esposito; F. Sebastiano; G. Occhiogrosso; G. Di Gennaro

doi:10.1007/s10072-005-0496-4

Cardiac asystole during right frontal lobe seizures: A case report

A. Mascia, P. P. Quarato, A. Sparano, V. Esposito, F. Sebastiano, G. Occhiogrosso, G. Di Gennaro

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Abstract

The association between partial seizures and cardiac asystole has rarely been reported in the literature. This potentially life-threatening symptom has been observed principally in left-sided epilepsies, in particular during seizures originating in temporal lobe. We describe a case with ictal bradycardia followed by cardiac asystole during right frontal lobe seizures. Video-EEG monitoring recorded two partial seizures with electro-clinical findings suggestive of a right frontal lobe origin, associated with ictal bradycardia followed by prolonged asystole. The brain MRI showed a lesion located in the cingulate gyrus of the right frontal lobe. The patient required a subsequent placement of a pacemaker. In conclusion, cardiac asystole may be a potentially life-threatening symptom during seizures of frontal lobe origin. The right fronto-mesial structures may play a role in autonomic regulation of cardiovascular responses.

Original language	English
Pages (from-to)	340-343
Number of pages	4
Journal	Neurological Sciences
Volume	26
Issue number	5
DOIs	https://doi.org/10.1007/s10072-005-0496-4
Publication status	Published - Dec 2005

Keywords

Asystole
Bradycardia
ECG
Frontal lobe epilepsy
Video-EEG monitoring

ASJC Scopus subject areas

Neuroscience(all)
Clinical Neurology

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10.1007/s10072-005-0496-4

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title = "Cardiac asystole during right frontal lobe seizures: A case report",

abstract = "The association between partial seizures and cardiac asystole has rarely been reported in the literature. This potentially life-threatening symptom has been observed principally in left-sided epilepsies, in particular during seizures originating in temporal lobe. We describe a case with ictal bradycardia followed by cardiac asystole during right frontal lobe seizures. Video-EEG monitoring recorded two partial seizures with electro-clinical findings suggestive of a right frontal lobe origin, associated with ictal bradycardia followed by prolonged asystole. The brain MRI showed a lesion located in the cingulate gyrus of the right frontal lobe. The patient required a subsequent placement of a pacemaker. In conclusion, cardiac asystole may be a potentially life-threatening symptom during seizures of frontal lobe origin. The right fronto-mesial structures may play a role in autonomic regulation of cardiovascular responses.",

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T2 - A case report

AU - Mascia, A.

AU - Quarato, P. P.

AU - Sparano, A.

AU - Esposito, V.

AU - Sebastiano, F.

AU - Occhiogrosso, G.

AU - Di Gennaro, G.

PY - 2005/12

Y1 - 2005/12

N2 - The association between partial seizures and cardiac asystole has rarely been reported in the literature. This potentially life-threatening symptom has been observed principally in left-sided epilepsies, in particular during seizures originating in temporal lobe. We describe a case with ictal bradycardia followed by cardiac asystole during right frontal lobe seizures. Video-EEG monitoring recorded two partial seizures with electro-clinical findings suggestive of a right frontal lobe origin, associated with ictal bradycardia followed by prolonged asystole. The brain MRI showed a lesion located in the cingulate gyrus of the right frontal lobe. The patient required a subsequent placement of a pacemaker. In conclusion, cardiac asystole may be a potentially life-threatening symptom during seizures of frontal lobe origin. The right fronto-mesial structures may play a role in autonomic regulation of cardiovascular responses.

AB - The association between partial seizures and cardiac asystole has rarely been reported in the literature. This potentially life-threatening symptom has been observed principally in left-sided epilepsies, in particular during seizures originating in temporal lobe. We describe a case with ictal bradycardia followed by cardiac asystole during right frontal lobe seizures. Video-EEG monitoring recorded two partial seizures with electro-clinical findings suggestive of a right frontal lobe origin, associated with ictal bradycardia followed by prolonged asystole. The brain MRI showed a lesion located in the cingulate gyrus of the right frontal lobe. The patient required a subsequent placement of a pacemaker. In conclusion, cardiac asystole may be a potentially life-threatening symptom during seizures of frontal lobe origin. The right fronto-mesial structures may play a role in autonomic regulation of cardiovascular responses.

KW - Asystole

KW - Bradycardia

KW - ECG

KW - Frontal lobe epilepsy

KW - Video-EEG monitoring

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JO - Neurological Sciences

JF - Neurological Sciences

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ER -

Cardiac asystole during right frontal lobe seizures: A case report

Abstract

Keywords

ASJC Scopus subject areas

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