Ictal sinus pause and myoclonic seizure in a child

Hye Ryun Kim, Gun Ha Kim, So-Hee Eun, Baik-Lin Eun, Jung Hye Byeon

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Ictal tachycardia and bradycardia are common arrhythmias; however, ictal sinus pause and asystole are rare. Ictal arrhythmia is mostly reported in adults with temporal lobe epilepsy. Recently, ictal arrhythmia was recognized as a major warning sign of sudden unexpected death in epilepsy. We present an interesting case of a child with ictal sinus pause and asystole. A 27-month-old girl was hospitalized due to 5 episodes of convulsions during the past 2 days. Results of routine electroencephalography (EEG) were normal, but she experienced brief generalized tonic seizure for 3 days. During video-monitored EEG and echocardiography (ECG), she showed multiple myoclonic seizures simultaneously or independently, as well as frequent sinus pauses. After treatment with valproic acid, myoclonus and generalized tonic seizures were well controlled and only 2 sinus pauses were seen on 24-hour Holter ECG monitoring. Sinus dysfunction should be recognized on EEG, and it can sometimes be treated successfully with only antiepileptic medication.

Original languageEnglish
Pages (from-to)S129-S132
JournalKorean Journal of Pediatrics
Volume59
DOIs
Publication statusPublished - 2016 Nov 1

Fingerprint

Seizures
Stroke
Cardiac Arrhythmias
Electroencephalography
Heart Arrest
Echocardiography
Ambulatory Electrocardiography
Myoclonus
Temporal Lobe Epilepsy
Valproic Acid
Bradycardia
Sudden Death
Tachycardia
Anticonvulsants
Epilepsy
Therapeutics

Keywords

  • Asystole
  • Electroencephalography
  • Sinus pause

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pediatrics

Cite this

Ictal sinus pause and myoclonic seizure in a child. / Kim, Hye Ryun; Kim, Gun Ha; Eun, So-Hee; Eun, Baik-Lin; Byeon, Jung Hye.

In: Korean Journal of Pediatrics, Vol. 59, 01.11.2016, p. S129-S132.

Research output: Contribution to journalArticle

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