Letter to the Editor
Recording the insula during ictal asystole

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References (10)

  • H. Catenoix et al.

    Hippocampal–orbitofrontal connectivity in human: an electrical stimulation study

    Clin Neurophysiol

    (2005)
  • R. Rocamera et al.

    Cardiac asystole in epilepsy: clinical and neurophysiological features

    Epilepsia

    (2003)
  • S.U. Schuele et al.

    Video-electrographic and clinical features in patients with ictal asystole

    Neurology

    (2007)
  • H. Leung et al.

    Asystole induced by electrical stimulation of the left cingulate gyrus

    Epileptic Disord

    (2007)
  • M. Guenot et al.

    Neurophysiological monitoring for epilepsy surgery: the Talairach SEEG method. StereoElectroEncephaloGraphy. Indications, results, complications and therapeutic applications in a series of 100 consecutive cases

    Stereotact Funct Neurosurg

    (2001)
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Cited by (26)

  • Ictal asystole as a manifestation of pure insular epilepsy

    2021, Seizure
    Citation Excerpt :

    Taken all together, extra-insular regions were unlikely to be involved in the generation of ictal asystole in our patient. A previous report using SEEG has shown that a left amygdalo-hippocampal seizure with ipsilateral insular propagation led to asystole [3]. Although left-sided lateralization had been suggested in the parasympathetic cardiac regulation, bilateral representation has been confirmed by a recent study of direct insular stimulation using SEEG [4].

  • Ictal asystole during long-term video-EEG; semiology, localization, and intervention

    2021, Epilepsy and Behavior Reports
    Citation Excerpt :

    Stimulation of the left hippocampus resulted in IA lasting 11 seconds after the EEG onset. This was the first study to show that stimulation-induced seizures in humans could cause ictal asystole [15]. Stimulation of the posterior long gyrus of the insula on the left also caused bradycardia.

  • Keeping pace: A 38-second ictal asystole revealed during simultaneous electroencephalogram and electrocardiogram monitoring

    2018, HeartRhythm Case Reports
    Citation Excerpt :

    Even in high-volume neurology centers, ictal-induced bradycardia and asystole are documented in <0.5% of patients undergoing video-electroencephalogram (vEEG) recording.2,3 The mechanism of ictal-induced bradycardia and asystole has yet to be fully elucidated, though it is hypothesized to be related to cortical control of the autonomic system by either sympathetic inhibition or vagal activation, leading to sinus node arrest.4–6 Seizures can lead to cardiac bradycardia or asystole, while cardiac bradycardia can lead to convulsions.

  • Planning and management of SEEG

    2018, Neurophysiologie Clinique
    Citation Excerpt :

    Better knowledge of specific subjective manifestations makes it easier to recognize these. Technical progress has progressively allowed sampling of the insula under good safety conditions and through identifying the anatomo-functional characteristics [47,87–95]. SEEG is particularly effective in demonstrating an insular origin of seizures (Fig. 3).

  • Ictal asystole and syncope

    2015, International Journal of Cardiology
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