Seizures: systemic presentations

Evidence-based neurology checklist on seizures: systemic presentations: Ictal asystole This typically occurs in long-standing or resistant epilepsy It usually occurs in the middle or end of the seizure The mean duration is 10-18 seconds Delayed loss of tone is suggestive It is usually…

Ictal asystole

  • This typically occurs in long-standing or resistant epilepsy
  • It usually occurs in the middle or end of the seizure
  • The mean duration is 10-18 seconds
  • Delayed loss of tone is suggestive
  • It is usually self-limiting
  • It may help to limit the seizure duration
  • There is no confirmed association with SUDEP

Arrhythmias

Syncope

Respiratory manifestations

Auditory

Ictal pain

Genitourinary

Gastrointestinal

Dermatological

Ophthalmic

Acronym

References

  1. Fisher RS, Cross JH, D'Souza C, et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsia 2017; 58:531-542. 
  2. Fogarasi A, Janszky J, Tuxhorn I. Ictal emotional expressions of children with partial epilepsy. Epilepsia 2007; 48:120-123.
  3. Casciato S, Quarato PP, Mascia A, et al. Ictal asystole in drug-resistant focal epilepsy: two decades of experience from an epilepsy monitoring unit. Brain Sci 2020; 10:443.
  4. Davis A, Neligan A, Raja N, Kelso A. Curious turns in the night-time. Pract Neurol 2015; 15:389-392. 
  5. Tényi D, Gyimesi C, Kupó P, et al. Ictal asystole: A systematic review. Epilepsia 2016; doi: 10.1111/epi.13644 (Epub ahead of print).
  6. And 54 more. Subscribe to see the full list

Related checklists

Loading...