Abstract
Ictal Asystole after Meningioma Resection: Case report
Highlights
Autonomic dysfunction in various forms, affecting the cardiovascular, respiratory, gastrointestinal and other systems, is commonly associated with seizures
An increase in heart rate is very common with various kinds of seizures, but ictal bradycardia and a systole are much less common [1]
Symptomatic ictal Brady arrhythmias occur in less than 0.5% of epilepsy patients, and the overwhelming majority have been reported in association with temporal lobe epilepsy
Summary
Autonomic dysfunction in various forms, affecting the cardiovascular, respiratory, gastrointestinal and other systems, is commonly associated with seizures. We report here a case of a woman with new onset seizures caused by a meningioma, who had episodes of ictal a systole following tumor resection. Late in the evening on the day of her surgery, she had an episode of bradycardia progressing to loss of pulse, for which cardiopulmonary resuscitation with chest compressions was initiated The EEG was significantly asymmetric, with attenuation, slowing, and rare trains of epileptiform activity over the left hemisphere She had another episode of loss of pulse, requiring cardiopulmonary resuscitation through chest compressions, with the spontaneous return of circulation within 1 minute. Her affect remained flat, and the decision was made to taper the levetiracetam and start oxcarbazepine. The patient was discharged to a rehabilitation facility and remained stable at follow-up (Figure 1)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
