New onset left frontal lobe seizure presenting with ictal asystole

Sean A. Enkiri, Forough Ghavami, Chinekwu Anyanwu, Zayd Eldadah, Richard L. Morrissey, Gholam K. Motamedi

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Ictal asystole is a presumably rare but potentially fatal complication of seizures, most often of temporal lobe origin. It is believed that at least some cases of sudden unexplained death in epilepsy (SUDEP) might be triggered by ictal bradycardia or asystole. Current standard practice is to implant a permanent pacemaker in these patients to prevent syncope and/or death. However, emerging data suggests that effective medical or surgical treatment of epilepsy might be enough to prevent cardiac asystole, eliminating the need for permanent pacemaker placement. We describe a case of new onset left frontal lobe epilepsy in a young athletic patient who presented with near-syncopal episodes but whose comprehensive work-up revealed frequent events of ictal bradycardia and asystole. He responded well to monotherapy using oxcarbazepine, avoiding a permanent pacemaker.

Original languageEnglish (US)
Pages (from-to)817-819
Number of pages3
Issue number10
StatePublished - Dec 2011
Externally publishedYes


  • Cardiac pacemaker
  • Epilepsy
  • Ictal asystole
  • Ictal bradycardia
  • Seizure
  • Syncope

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology


Dive into the research topics of 'New onset left frontal lobe seizure presenting with ictal asystole'. Together they form a unique fingerprint.

Cite this