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Ictal ECG changes in temporal lobe epilepsy.

Li, LM; Roche, J; Sander, JW; (1995) Ictal ECG changes in temporal lobe epilepsy. Arq Neuropsiquiatr , 53 (3-B) 619 - 624. 10.1590/S0004-282X1995000400012. Green open access

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Abstract

Changes in cardiac rhythm may occur during epileptic seizures and this has been suggested as a possible mechanism for sudden unexpected death amongst patients with chronic epilepsy (SUDEP). We have studied ECG changes during 61 complex partial seizures of temporal lobe origin in 20 patients. Tachycardia was observed in 24/61 (39%) and bradycardia in 3/61 (5%). The mean and median tachycardia rate was 139 and 140 beats/min (range 120-180). The longest R-R interval observed was 9 seconds. No difference was found in regard to the lateralisation of seizures and cardiac arrhytmia. One of the patients with bradycardia was fitted with a demand cardiac pacemaker, which appeared to decrease the number of his falls. In conclusion, ictal cardiac changes which may be seen in temporal lobe epilepsy (TLE) are sinus tachycardia and occasionally sinus bradycardia. Patients presenting vague complains suggestive of either TLE or cardiac dysrhythmia, simultaneous monitoring with EEG/ECG is required, and if the episodes are frequent, video-EEG should be considered. Further studies on this subject are warranted as this may shed some light on possible mechanisms for SUDEP.

Type: Article
Title: Ictal ECG changes in temporal lobe epilepsy.
Location: BRAZIL
Open access status: An open access version is available from UCL Discovery
DOI: 10.1590/S0004-282X1995000400012
Publisher version: http://dx.doi.org/10.1590/S0004-282X1995000400012
Language: English
Additional information: All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
Keywords: Adolescent, Adult, Animals, Chronic Disease, Electrocardiography, Electroencephalography, Epilepsy, Temporal Lobe, Female, Heart Rate, Humans, Male, Middle Aged, Video Recording
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
URI: https://discovery.ucl.ac.uk/id/eprint/81204
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