Ictal asystole: a diagnostic and management conundrum

Gashirai K Mbizvo1,2, Chris Derry2,3, Richard Davenport2

  • 1Muir Maxwell Epilepsy Centre, Centre for Clinical Brain Sciences, The University of Edinburgh Child Life and Health, 20 Sylvan Place, Edinburgh EH9 1UW, UK, gashirai.mbizvo@ed.ac.uk.

Summary

Transient loss of consciousness (TLoC) cases initially misdiagnosed as syncope were found to be focal seizures with ictal asystole. Antiepileptic drugs (AEDs) and pacemakers were used, with AEDs proving crucial for seizure control.

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