Seizures: systemic presentations
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Seizures: systemic presentations. This typically occurs in long-standing or resistant epilepsy. Fully referenced neurology checklist.
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
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Syncope
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Respiratory manifestations
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Auditory
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Ictal pain
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Genitourinary
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Gastrointestinal
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Dermatological
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Ophthalmic
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Acronym
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References
- 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.
- Fogarasi A, Janszky J, Tuxhorn I. Ictal emotional expressions of children with partial epilepsy. Epilepsia 2007; 48:120-123.
- 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.
- Davis A, Neligan A, Raja N, Kelso A. Curious turns in the night-time. Pract Neurol 2015; 15:389-392.
- Tényi D, Gyimesi C, Kupó P, et al. Ictal asystole: A systematic review. Epilepsia 2016; doi: 10.1111/epi.13644 (Epub ahead of print).
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