Asystole in focal epilepsy complicating a traumatic subdural hematoma

Ictal asystole due to sinus node suppression is a cause of sudden unexplained death in epilepsy. Here, for the first time, we describe a complete atrioventricular nodal block in a patient with non-compressive traumatic subdural hematoma, who developed ictal asystole as a delayed presentation. A lead...

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Detalles Bibliográficos
Autores principales: Lau, Yuk-Ming, Lo, Chi-Hung, Lee, Kathy Lai-Fun, Lau, Chu-Pak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529326/
https://www.ncbi.nlm.nih.gov/pubmed/28765766
http://dx.doi.org/10.1016/j.joa.2017.01.004
Descripción
Sumario:Ictal asystole due to sinus node suppression is a cause of sudden unexplained death in epilepsy. Here, for the first time, we describe a complete atrioventricular nodal block in a patient with non-compressive traumatic subdural hematoma, who developed ictal asystole as a delayed presentation. A leadless VVI pacemaker (ventricular paced, ventricular sensed, and pacing inhibited in response to a sensed beat) was implanted as a preventive measure against seizure-related heart block.

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