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Year : 2021  |  Volume : 69  |  Issue : 3  |  Page : 737--739

Cardiac Arrest in Frontal Lobe Epilepsy: A Potential Cause of Sudden Unexpected Death in Epilepsy

Department of Neurology and Neuroscience Center, First Hospital of Jilin University, Changchun, China

Correspondence Address:
Dr. Weihong Lin
Department of Neurology and Neuroscience Center, First Hospital of Jilin University, No. 71, Xinmin Street, Changchun - 130 000
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.319218

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Background: Mechanisms involved in the causation of sudden unexpected death in epilepsy (SUDEP) are not well understood. Ictal asystole has been identified as a cause of SUDEP in patients with temporal lobe epilepsy. Herein, we report a patient who developed cardiac arrest during the ictal period of frontal lobe epilepsy. Case Report: A 35-year-old man presented with a history of progressive nocturnal stiffness in the left lower extremity since 6 years and that of paroxysmal episodes of altered consciousness. In the last 2 years, he sustained epileptic seizures which presented as closed eyes, wheezy phlegm in the throat, facial pallor, moist cold skin, clenched fists, and limb stiffness; the episodes lasted 3–4 min. The seizures did not respond to antiepileptic therapy. Twenty four-hour electrocardiography monitoring showed transient atrial tachycardia, supraventricular premature beats, and cardiac arrest. Conclusion: Frontal lobe epilepsy may be a potential cause of SUDEP. Clinician should be aware of this condition.


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