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 language | English |
|---|---|
| Pages (from-to) | S129-S132 |
| Journal | Korean Journal of Pediatrics |
| Volume | 59 |
| DOIs | |
| Publication status | Published - 2016 Nov 1 |
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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 journal › Article
}
TY - JOUR
T1 - Ictal sinus pause and myoclonic seizure in a child
AU - Kim, Hye Ryun
AU - Kim, Gun Ha
AU - Eun, So-Hee
AU - Eun, Baik-Lin
AU - Byeon, Jung Hye
PY - 2016/11/1
Y1 - 2016/11/1
N2 - 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.
AB - 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.
KW - Asystole
KW - Electroencephalography
KW - Sinus pause
UR - http://www.scopus.com/inward/record.url?scp=85001114562&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85001114562&partnerID=8YFLogxK
U2 - 10.3345/kjp.2016.59.11.S129
DO - 10.3345/kjp.2016.59.11.S129
M3 - Article
AN - SCOPUS:85001114562
VL - 59
SP - S129-S132
JO - Korean Journal of Pediatrics
JF - Korean Journal of Pediatrics
SN - 1783-1061
ER -