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

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

Journal of Epileptology
Volume 27 (2019): Issue 1 (February 2019)
By: Julia Matzen,  Friedhelm C. Schmitt,  Michael C. Kreissl,  Jürgen Voges,  Hans-Jochen Heinze and  Imke Galazky  
Open Access
|Feb 2019

Figures & Tables

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).
DOI: https://doi.org/10.21307/joepi-2019-001 | Journal eISSN: 2299-9728 | Journal ISSN: 2300-0147
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Language: English
Page range: 43 - 47
Submitted on: Apr 7, 2018
|
Accepted on: Feb 8, 2019
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Published on: Feb 16, 2019
Published by: The Foundation of Epileptology
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year
Keywords:
ictal asystole,
MIBG imaging,
symptomatic epilepsy,
glioblastoma
Related subjects:
Medicine,
Clinical medicine,
Clinical medicine, other,
Neurology,
Pharmacology, toxicology,
Pharmacy,
Clinical pharmacy

© 2019 Julia Matzen, Friedhelm C. Schmitt, Michael C. Kreissl, Jürgen Voges, Hans-Jochen Heinze, Imke Galazky, published by The Foundation of Epileptology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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