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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1998-12-17
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pubmed:abstractText |
We report 3 cases of an ictal sinus arrest. All patients suffered from temporal lobe epilepsy (TLE). Seizures were monitored with simultaneous video-eeg during preoperative epilepsy diagnosis. One patient with cortical dysplasia, who frequently suffered from long lasting syncopes, had a nearly completely missing cardiac sympathetic innervation in MIBG-SPECT (=Meta-Iodide-Benzyle-Guanidine-single-photon-emission tomography). Cardiac investigation including long-term ECG and echocardiography had shown normal findings. After epilepsy surgery the syncopal events in all patients disappeared. A dominant parasympathetic ictal stimulus following excitation of the reticular formation might cause the ictal bradycardia and sinus arrest. A missing sympathetic innervation, possibly occurring as fehlbildung together with cortical dysplasia, which makes autoregulation impossible, might then be the explanation for sudden cardiac ictal death.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0028-2804
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
712-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9757425-Adult,
pubmed-meshheading:9757425-Cerebral Cortex,
pubmed-meshheading:9757425-Diagnostic Imaging,
pubmed-meshheading:9757425-Electroencephalography,
pubmed-meshheading:9757425-Epilepsy, Temporal Lobe,
pubmed-meshheading:9757425-Female,
pubmed-meshheading:9757425-Heart,
pubmed-meshheading:9757425-Humans,
pubmed-meshheading:9757425-Male,
pubmed-meshheading:9757425-Reticular Formation,
pubmed-meshheading:9757425-Sympathetic Nervous System,
pubmed-meshheading:9757425-Syncope
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pubmed:year |
1998
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pubmed:articleTitle |
[Ictal syncopes. Cardiac sympathetic innervation disorder as the etiology?].
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pubmed:affiliation |
Neurologische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
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pubmed:publicationType |
Journal Article,
English Abstract
|