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Ictal asystole with reduced cardiac sympathetic function in new-onset symptomatic epilepsy

Julia Matzen

Julia Matzen

Department of Neurology, University of MagdeburgMagdeburg, Germany
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Matzen, Julia
, 
Friedhelm C. Schmitt

Friedhelm C. Schmitt

Department of Neurology, University of MagdeburgMagdeburg, Germany
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Schmitt, Friedhelm C.
, 
Michael C. Kreissl

Michael C. Kreissl

Department of Radiology and Nuclear Medicine, University Hospital MagdeburgMagdeburg, Germany
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Kreissl, Michael C.
, 
Jürgen Voges

Jürgen Voges

  • Department of Stereotactic Neurosurgery, University of MagdeburgMagdeburg, Germany
  • Leibniz Institute for Neurobiology (LIN)Magdeburg, Germany
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Voges, Jürgen
, 
Hans-Jochen Heinze

Hans-Jochen Heinze

  • Department of Neurology, University of MagdeburgMagdeburg, Germany
  • Leibniz Institute for Neurobiology (LIN)Magdeburg, Germany
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Heinze, Hans-Jochen
 et 
Imke Galazky

Imke Galazky

Department of Neurology, University of MagdeburgMagdeburg, Germany
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Galazky, Imke
  
16 févr. 2019
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Catégorie d'article: case-report
Publié en ligne: 16 févr. 2019
Pages: 43 - 47
Reçu: 07 avr. 2018
Accepté: 08 févr. 2019
DOI: https://doi.org/10.21307/joepi-2019-001
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© 2020 Julia Matzen., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Figure 1.

(A) EEG showing right temporal (T4) delta slowing (B) a seizure pattern evolves consisting of rhythmic 3/s activity, no clinical abnormalities (C) 50 s later: ongoing seizure pattern, patient complains an olfactory sensation, bradycardia (D) asystolia, generalised EEG flattening, patient unconscious (E) asystolia ends spontaneously after 23 s, clinically hypoxic myoclonus (F) normalisation of EEG pattern, patient awake.
(A) EEG showing right temporal (T4) delta slowing (B) a seizure pattern evolves consisting of rhythmic 3/s activity, no clinical abnormalities (C) 50 s later: ongoing seizure pattern, patient complains an olfactory sensation, bradycardia (D) asystolia, generalised EEG flattening, patient unconscious (E) asystolia ends spontaneously after 23 s, clinically hypoxic myoclonus (F) normalisation of EEG pattern, patient awake.

Figure 2.

Planar (123)I metaiodobenzylguanidine scans with low myocardial tracer uptake (heart/ mediastinum ratio 1.6 after 15 min and 1.8 after 4 hours post injection). This is often found in deficient post-ganglionic cardiac catecholamine uptake in idiopathic Parkinson’s disease (left: anterior view; right: posterior view).
Planar (123)I metaiodobenzylguanidine scans with low myocardial tracer uptake (heart/ mediastinum ratio 1.6 after 15 min and 1.8 after 4 hours post injection). This is often found in deficient post-ganglionic cardiac catecholamine uptake in idiopathic Parkinson’s disease (left: anterior view; right: posterior view).
Langue:
Anglais
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2 fois par an
Sujets de la revue:
Médecine, Médecine clinique, Médecine clinique, autres, Neurologie, Pharmacologie, toxicologie, Pharmacie, Pharmacie clinique
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