The study of cardiac respiratory dysfunction in peri-epileptic period
10.19845/j.cnki.zfysjjbzz.2022.0279
- VernacularTitle:围癫痫发作期的心脏呼吸功能障碍的研究
- Author:
Zezhi WANG
1
;
Bi WANG
1
;
Ze CHEN
1
Author Information
1. Department of Neurology,Xijing Hospital,the Air Force Military Medical University,Xi an 710032,China
- Publication Type:Journal Article
- Keywords:
Epilepsy;
Sudden unexpected death in epilepsy;
Postictal generalized electroencephalog raphy suppression
- From:
Journal of Apoplexy and Nervous Diseases
2022;39(12):1119-1122
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical and electrophysiological characteristics of cardiac-respiratory dysfunction during the peri-epileptic seizure period.Methods A retrospective analysis was made from 12 000 patients with long-term video electroencephalograph （EEG）monitoring from October 2016 to April 2022 in the Department of Neurology,Xijing Hospital.Epilepsy patients with cardiac and respiratory dysfunction during peri- epileptic seizure period were enrolled,and their clinical and electrophysiological changes during the peri- epileptic seizure period were analyzed.Results Three patients experienced five seizures with cardiopulmonary dysfunctions during the EEG monitoring.Two of them were female and one was male,and their age was from 23 to 55 years old with epilepsy history of 9~40 years.One patient experienced sGTCS (secondly generalized tonic-clonic seizures) followed by generalized EEG suppression (PGES),during which respiratory movements disappeared for 74 s and the heart rate was as low as 25 bpm.One patient experienced ictal asytole lasting for 15 s during a seizure induced by flash stimulation;one patient experienced ictal asytole during two seizures,which lasted for 5 s and 3 s respectively.Follow-up time ranged from 6 months to 7 years,and all the three patients were seizure free.Conclusion Cardiopulmonary dysfunction occurs during PGES after seizures,and ictal asytole occurs during seizures,which maybe related with sudden unexpected death in epilepsy (SUDEP).
- Full text:2024071822312912187The study of cardiac respiratory dysfunction in peri-epileptic period.pdf
