Pediatric Neurology
Volume 42, Issue 3 , Pages 201-205 , March 2010

Cardiac Arrhythmias and Ictal Events Within an Epilepsy Monitoring Unit

  • Shannon M. Standridge, DO, MPH

      Affiliations

    • Department of Child Neurology, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio
    • Corresponding Author InformationCommunications should be addressed to: Dr. Standridge; Cincinnati Children's Hospital and Medical Center; 3333 Burnet Avenue; Building C5015; Cincinnati, OH 45229.
    • ,
  • Katherine D. Holland, MD, PhD

      Affiliations

    • Department of Child Neurology, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio
    • Department of Clinical Neurophysiology, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio
    • ,
  • Paul S. Horn, PhD

      Affiliations

    • Department of Child Neurology, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio
    • Department of Mathematical Sciences, University of Cincinnati, Cincinnati, Ohio

Received 2 March 2009 ,Accepted 26 October 2009.

References 

  1. Stöllberger C, Finsterer J. Cardiorespiratory findings in sudden unexplained/unexpected death in epilepsy (SUDEP). Epilepsy Res. 2004;59:51–60
  2. Opherk C, Coromilas J, Hirsch LJ. Heart rate and EKG changes in 102 seizures: analysis of influencing factors. Epilepsy Res. 2002;52:117–127
  3. Zijlmans M, Flanagan D, Gotman J. Heart rate changes and ECG abnormalities during epileptic seizures: prevalence and definition of an objective clinical sign. Epilepsia. 2002;43:847–854
  4. Tigaran S, Rasmussen V, Dam M, Høgenhaven H, Friberg B. ECG changes in epilepsy patients. Acta Neurol Scand. 1997;96:72–75
  5. Keilson MJ, Hauser WA, Magrill JP. Electrocardiographic changes during electrographic seizures. Arch Neurol. 1989;46:1169–1170
  6. Rugg-Gunn FJ, Simister RJ, Squirrell M, Holdright DR, Duncan JS. Cardiac arrhythmias in focal epilepsy: a prospective long-term study. Lancet. 2004;364:2212–2219
  7. O'Regan ME, Brown JK. Abnormalities in cardiac and respiratory function observed during seizures in childhood. Dev Med Child Neurol. 2005;47:4–9
  8. Hewertson J, Boyd SG, Samuels MP, Neville BG, Southall DP. Hypoxaemia and cardio respiratory changes during epileptic seizures in young children. Dev Med Child Neurol. 1996;38:511–522
  9. Cardiology Gajewski K. In:  Robertson J,  Shilkofski N editor. Johns Hopkins Hospital: The Harriet Lane handbook. 17th ed. Philadelphia: Elsevier Mosby; 2005;p. 174–179
  10. Mayer H, Benninger F, Urak L, Plattner B, Geldner J, Feucht M. EKG abnormalities in children and adolescents with symptomatic temporal lobe epilepsy. Neurology. 2004;63:324–328
  11. Leutmezer F, Schernthaner C, Lurger S, Pötzelberger K, Baumgartner C. Electrocardiographic changes at the onset of epileptic seizures. Epilepsia. 2003;44:348–354
  12. Garcia M, D'Giano C, Estellés S, Leiguarda R, Rabinowicz A. Ictal tachycardia: its discriminating potential between temporal and extratemporal seizure foci. Seizure. 2001;10:415–419
  13. Nei M, Ho R, Sperling M. EKG abnormalities during partial seizures in refractory epilepsy. Epilepsia. 2000;41:542–548
  14. Galimberti CA, Marchioni E, Barzizza F, Manni R, Sartori I, Tartara A. Partial epileptic seizures of different origin variably affect cardiac rhythm. Epilepsia. 1996;37:742–747
  15. Oppenheimer SM, Gelb A, Girvin JP, Hachinski VC. Cardiovascular effects of human insular cortex stimulation. Neurology. 1992;42:1727–1732
  16. Zamrini EY, Meador KJ, Loring DW, Nichols FT, Lee GP, Figueroa RE, et al. Unilateral cerebral inactivation produces differential left/right heart rate responses. Neurology. 1990;40:1408–1411
  17. Hilz MJ, Dütsch M, Perrine K, Nelson PK, Rauhut U, Devinsky O. Hemispheric influence on autonomic modulation and baroreflex sensitivity. Ann Neurol. 2001;49:575–584
  18. Epstein MA, Sperling MR, O'Connor MJ. Cardiac rhythm during temporal lobe seizures. Neurology. 1992;42:50–53
  19. Keilson MJ, Hauser WA, Magrill JP, Goldman M. ECG abnormalities in patients with epilepsy. Neurology. 1987;37:1624–1626
  20. Kirchner A, Pauli E, Hilz MJ, Neundörfer B, Stefan H. Sex differences and lateral asymmetry in heart rate modulation in patients with temporal lobe epilepsy. J Neurol Neurosurg Psychiatry. 2002;73:73–75
  21. Noe KH, Drazkowski JF. Safety of long-term video-electroencephalographic monitoring for evaluation of epilepsy. Mayo Clin Proc. 2009;84:495–500
  22. Johnson JN, Hofman N, Haglund CM, Cascino GD, Wilde AA, Ackerman MJ. Identification of a possible pathogenic link between congenital long QT syndrome and epilepsy. Neurology. 2009;72:224–231
  23. Hindocha N, Nashef L, Elmslie F, Birch R, Zuberi S, Al-Chalabi A, et al. Two cases of sudden unexpected death in epilepsy in a GEFS+ family with an SCN1A mutation. Epilepsia. 2008;49:360–365

PII: S0887-8994(09)00524-4

doi: 10.1016/j.pediatrneurol.2009.10.010

Pediatric Neurology
Volume 42, Issue 3 , Pages 201-205 , March 2010

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