Background Ictal asystole is a rare phenomenon. Most reported cases are in persons with long-standing focal epilepsy originating from the temporal lobe. Its occurrence may complicate the clinical presentation or delay diagnosis, and it is thought to be associated with increased risk of sudden unexpected death in epilepsy. Case presentation We report the case of a 55-year-old female person with epilepsy who suffered ictal asystole for 10 s while under monitoring at the Epilepsy Monitoring Unit. We then review briefly the pathophysiology and current management modalities for this phenomenon. Discussion The first step in management of this condition is usually the optimization of anti-seizure drugs. In our case, a 2-year fall-free period was achieved with optimization of medical treatment. Pacemaker implantation can also be attempted to prevent ictal asystole-related falls and injury, while refractory cases may benefit from epilepsy surgery in terms of both seizure control and prevention of ictal asystole.

中文翻译：

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心与脑：颞叶癫痫发作期心搏停止一例

背景 发作性心搏停止是一种罕见的现象。大多数报告的病例是源自颞叶的长期局灶性癫痫患者。它的发生可能使临床表现复杂化或延误诊断，并且被认为与癫痫猝死的风险增加有关。案例介绍 我们报告了一名 55 岁女性癫痫患者，她在癫痫监测单位接受监测期间出现发作性心搏停止 10 秒。然后我们简要回顾了这种现象的病理生理学和当前的管理方式。讨论 处理这种情况的第一步通常是优化抗癫痫药物。在我们的案例中，通过优化医疗实现了 2 年的无跌倒期。