The ictal bradycardia syndrome: localization and lateralization

Epilepsia
Jeffrey BrittonGregory D Cascino

Abstract

Previous studies have established the importance of the insular cortex and temporal lobe in cardiovascular autonomic modulation. Some investigators, based on the results of cortical stimulation response, functional imaging, EEG recordings of seizures, and lesional studies, have suggested that cardiac sympathetic and parasympathetic function may be lateralized, with sympathetic representation lateralized to the right insula, and parasympathetic, to the left. These studies have suggested that ictal bradycardia is most commonly a manifestation of activation of the left temporal and insular cortex. However, the evidence for this is inconsistent. We sought to assess critically the predictable value of ictal bradycardia for seizure localization and lateralization. In this study, we reviewed the localization of seizure activity in 13 consecutive patients with ictal bradycardia diagnosed during prolonged video-EEG monitoring at Mayo Clinic Rochester. The localization of electrographic seizure activity at seizure onset and bradycardia onset was identified in all patients. In addition, we performed a comprehensive review of the ictal bradycardia literature focusing on localization of seizure activity in ictal bradycardia cases. All occur...Continue Reading

References

Nov 1, 1992·Neurology·R W FinchamJ B Martins
Sep 1, 1992·Neurology·S M OppenheimerV C Hachinski
Aug 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·E Wilder-Smith
Apr 1, 1992·Neurology·L J Liedholm, O Gudjonsson
Jan 1, 1992·Neurology·M A EpsteinM J O'Connor
Mar 15, 1990·Journal of the American College of Cardiology·L ConstantinR D Dagli
May 1, 1988·The American Journal of the Medical Sciences·D E Jacome, E R Seroppian
Feb 1, 1986·The American Journal of Medicine·O DevinskyS I Cohen
Feb 1, 1984·Archives of Neurology·D L Coulter
Sep 1, 1995·Seizure : the Journal of the British Epilepsy Association·K van RijckevorselT de Barsy
Jan 1, 1994·Stroke; a Journal of Cerebral Circulation·S A BarronJ Hemli
Feb 1, 1996·Stroke; a Journal of Cerebral Circulation·H K NaverB G Wallin
Mar 1, 1996·Journal of Neurology, Neurosurgery, and Psychiatry·L NashefD R Fish
Oct 1, 1996·Epilepsia·A L ReevesE L So
Nov 1, 1996·Stroke; a Journal of Cerebral Circulation·J T KorpelainenV V Myllyä
Aug 1, 1997·Journal of Neurology, Neurosurgery, and Psychiatry·C IaniM Manfredi
Apr 29, 1998·Der Nervenarzt·A KowalikC E Elger
Apr 29, 1998·Epilepsy Research·T TomsonL E Lindblad
May 14, 1998·Epilepsia·P Jallon
Oct 3, 1998·Der Nervenarzt·S Manitius-RobeckH Stefan
Apr 3, 1999·Annals of Internal Medicine·E R LocatelliS J Potolicchio
Jul 2, 1999·Stroke; a Journal of Cerebral Circulation·S L TokgözogluA Oto
Sep 16, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·E C LimE Wilder-Smith
Oct 6, 2000·Arquivos de neuro-psiquiatria·C L JorgeE M Yacubian
May 19, 2001·Annals of Neurology·M J HilzO Devinsky
Jan 11, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·H AnsakorpiJ I T Isojärvi
Nov 30, 2002·Epilepsy Research·Christian OpherkLawrence J Hirsch
Mar 5, 2003·Epilepsia·Fritz LeutmezerChristoph Baumgartner
Jul 17, 2003·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·M SeeckE Roulet
Nov 19, 2003·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·John B P Stephenson

❮ Previous
Next ❯

Citations

Jul 20, 2007·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Gena R GhearingJeffrey W Britton
Mar 20, 2009·Brain : a Journal of Neurology·M von LeheH Clusmann
Sep 16, 2009·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Stephan U Schuele
Sep 29, 2007·Epilepsia·Stephan U SchueleHans O Lüders
Jun 6, 2009·Epilepsia·Stephan U SchueleRichard C Burgess
Jan 14, 2010·Epilepsia·Cristian Sevcencu, Johannes J Struijk
Nov 5, 2011·Epilepsia·Ahmed-Ramadan SadekDavid Allen
Apr 7, 2010·Science Translational Medicine·A M GoldmanJ L Noebels
Jun 1, 2010·Continuum : Lifelong Learning in Neurology·Sean HwangElson L So
May 20, 2015·Oxford Medical Case Reports·Salman S AllanaAnnie F Kelly
Oct 21, 2014·Case Reports in Critical Care·Martin Miguel AmorNeil Holland
Jan 26, 2012·Current Opinion in Neurology·Rainer Surges, Josemir W Sander
Feb 13, 2016·Clinical Neurology and Neurosurgery·Chiara Gonzales-PortilloCesar V Borlongan
Dec 4, 2014·International Journal of Cardiology·Vijairam SelvarajJames R Cook
Apr 23, 2013·Neurología : publicación oficial de la Sociedad Española de Neurología·A Robles BayónJ M Torregrosa Quesada
Dec 24, 2013·Epilepsia·Vi-Huong Nguyen-MichelVincent Navarro
Jan 13, 2010·Epilepsy & Behavior : E&B·Adam StrzelczykFelix Rosenow
Feb 11, 2015·Epilepsy & Behavior Case Reports·Giada Giovannini, Stefano Meletti
Feb 11, 2015·Epilepsy & Behavior Case Reports·Jennifer ChuDavid K Chen
Aug 15, 2009·Revue neurologique·M von LeheH Clusmann
Oct 22, 2008·Epilepsy & Behavior : E&B·Parrish WinesettWilliam O Tatum
Mar 11, 2008·Clinical Neurology and Neurosurgery·Amit AgrawalLalit B Waghmare
Jan 15, 2008·International Journal of Cardiology·Jan NovyAndrea O Rossetti
Jan 24, 2008·Psychosomatics·Niraj Ahuja, Adrian J Lloyd
Jun 23, 2007·Epilepsy & Behavior : E&B·J JanszkyA Ebner
May 29, 2007·Journal of Electrocardiology·Ignatius Gerardo E Zarraga, David L Ware
Mar 6, 2007·Resuscitation·Markus Bernardus Sikkel, Nicola Batrick
Jan 22, 2009·Acta Neurologica Scandinavica·F KerlingM J Hilz
Nov 3, 2007·Pacing and Clinical Electrophysiology : PACE·Valeria CarinciGiuseppe Di Pasquale
Feb 18, 2010·Pediatrics International : Official Journal of the Japan Pediatric Society·Hiroaki MiyaharaTatsuro Izumi
Mar 31, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Maria StefanidouDaniel Friedman
Jun 16, 2012·Seizure : the Journal of the British Epilepsy Association·Rainer SurgesChristian E Elger
Apr 19, 2012·The International Journal of Neuroscience·Deniz YerdelenFiliz Koc
Apr 1, 2014·Seizure : the Journal of the British Epilepsy Association·Dmitry DuplyakovRainer Surges
May 15, 2015·BMC Neurology·Asaf HonigDana Ekstein
Jun 8, 2012·Seizure : the Journal of the British Epilepsy Association·Umer AkbarEvren Burakgazi
Aug 7, 2010·Seizure : the Journal of the British Epilepsy Association·K Jansen, L Lagae

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.