{"id":339314,"date":"2017-10-13T02:00:00","date_gmt":"2017-10-13T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/risk-of-recurrence-of-ictal-asystole\/"},"modified":"2017-10-13T02:00:00","modified_gmt":"2017-10-13T00:00:00","slug":"risk-of-recurrence-of-ictal-asystole","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/risk-of-recurrence-of-ictal-asystole\/","title":{"rendered":"Risk of recurrence of ictal asystole"},"content":{"rendered":"<p><strong>Ictal asystole is a dangerous complication that, although rare, can result in serious injury. To detect recurrent ictal asystole, documentation of only one or two epileptic seizures in the simultaneous video-eEG\/EKG lead is not sufficient.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p><strong>Background: <\/strong>Ictal asystole (IA) is a rare but dangerous complication and affects approximately 0.3% of patients with refractory epilepsy. It can lead to a sudden loss of muscle tone (in the sense of syncope) and thus to serious injury. IA can be missed by other seizure symptoms, which is why a simultaneous video EEG\/EKG lead is necessary to make the diagnosis.&nbsp;<\/p>\n<p><strong>Methods: <\/strong>Four databases (PubMed, Web of Science, ScienceDirect, data University Clinic for Epileptology in Bonn) were searched for keywords. IA was defined as an RR interval &gt;3 seconds and had to last at least twice as long as the previous RR interval. The final patient-based meta-analysis involved patients with epilepsy, at least one IA, and more than one seizure in a simultaneous EEG\/ECG lead.<\/p>\n<p><strong>Results:<\/strong> A total of 80 patients from 28 studies with 182 documented IA in a total of 537 epileptic seizures were analyzed. On average, the short-term recurrence risk of IA was 40.4% (95% confidence interval (CI) 32.4-49.8%). Factors such as age, sex, type and duration of epilepsy, right\/left hemispheric localization, or even duration of IA had no significant effect on the risk of recurrence. Recurrent IA was 63.8% symptomatic (CI 55.7-72.8%).<\/p>\n<p><strong>Comment:<\/strong> To detect recurrent IA, documentation of only one or two epileptic seizures on simultaneous video-EEG\/ECG recording is not sufficient. If this is not possible over a longer period of time, an event recorder is an alternative. If adequate seizure control is not achieved with medication or, for example, epilepsy surgery, early implantation of a pacemaker can prevent severe complications from IA.<\/p>\n<p>&nbsp;<\/p>\n<p><em>InFo NEUROLOGY &amp; PSYCHIATRY 2017; 15(5): 28-29.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ictal asystole is a dangerous complication that, although rare, can result in serious injury. To detect recurrent ictal asystole, documentation of only one or two epileptic seizures in the simultaneous&hellip;<\/p>\n","protected":false},"author":7,"featured_media":70240,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Epilepsy","footnotes":""},"category":[11363,11548,11503],"tags":[11779,37014,37017],"powerkit_post_featured":[],"class_list":["post-339314","post","type-post","status-publish","format-standard","has-post-thumbnail","category-neurology","category-rx-en","category-studies","tag-epilepsy","tag-ictal-asystole","tag-sudden-loss-of-muscle-tone","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-22 18:19:46","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":339208,"slug":"risque-de-recidive-des-asystolies-ictales","post_title":"Risque de r\u00e9cidive des asystolies ictales","href":"https:\/\/medizinonline.com\/fr\/risque-de-recidive-des-asystolies-ictales\/"},"it_IT":{"locale":"it_IT","id":339179,"slug":"rischio-di-recidiva-di-asistolia-ictale","post_title":"Rischio di recidiva di asistolia ictale","href":"https:\/\/medizinonline.com\/it\/rischio-di-recidiva-di-asistolia-ictale\/"},"pt_PT":{"locale":"pt_PT","id":339189,"slug":"risco-de-recidiva-de-assistolia-ictal","post_title":"Risco de recidiva de assistolia ictal","href":"https:\/\/medizinonline.com\/pt-pt\/risco-de-recidiva-de-assistolia-ictal\/"},"es_ES":{"locale":"es_ES","id":339196,"slug":"riesgo-de-recurrencia-de-la-asistolia-ictal","post_title":"Riesgo de recurrencia de la asistolia ictal","href":"https:\/\/medizinonline.com\/es\/riesgo-de-recurrencia-de-la-asistolia-ictal\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/339314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=339314"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/339314\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/70240"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=339314"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=339314"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=339314"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=339314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}