Table 2.
Ictal electro-clinical data and asystole details.
| Ictal Clinical Features | EEG Ictal Pattern | Asystole Data | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pts | Aura | “Nuclear” Semiology | Autonomic Signs | “Motor” Pattern | Post-Ictal Behavior | Seizure Onset | Evolution/Propagation | Post-Ictal | N° IA Events/Total V-EEG Recorded Seizures | Duration (Sec.) | EEG Onset →Asy (Sec.) |
| 1 | ascending epigastric nausea | behavior arrest; impaired awareness |
vomiting pallor | diffuse tonic-clonic jerks | confusional state | Left T focal flattening/LVFA | T rhythmic theta activity | T theta-delta slowing | 1/1 | 4 | 3 |
| 2 | olfactive hallucinations | behavior arrest; impaired awareness; oral/gestural automatisms |
flushing facial cyanosis | late diffuse myoclonic jerks | language deficit | Left T focal flattening/LVFA | T rhythmic theta activity | T theta-delta slowing | 2/3 | 19/17 | 20/22 |
| 3 | ascending fear/panic | behavioral arrest; impaired awareness | no | atonic falls | confusional state | Bilateral (>left) T rhythmic theta |
diffuse rhythmic theta/PO activity | diffuse theta-delta slowing (burst suppression-like pattern) | 1/1 | 23 | 20 |
| 4 | no | behavior arrest; impaired awareness; grimace; right-side eyes deviation |
facial cyanosis | head/trunk drop; diffuse myoclonic jerks asymmetric tonic posture |
confusional state; post-ictal amnesia |
Right F focal flattening/LVFA |
rhythmic theta activity spreading over right F regions |
diffuse theta-delta slowing | 2/3 | 8/15 | 10/11 |
| 5 | no | behavior arrest, impaired awareness; oral automatisms |
no | bilateral tonic posture; falls |
language deficit | Left T-P delta activity | diffuse rhythmic delta/PO activity | diffuse theta-delta slowing (burst suppression-like pattern) | 1/2 | 14 | 33 |
| 6 | epigastric pain | behavior/speech arrest; impaired awareness | vomiting pallor | trunk drop; late diffuse myo-jerks |
confusional state; fear/panic reaction | Bilateral F (>right) | diffuse rhythmic delta/PO activity | diffuse theta-delta slowing (burst suppression-like pattern) | 2/4 | 20/9 | 19/20 |
| 7 | no | behavior/speech arrest; LOC; right arm dystonic posture; | flushing and up-eye-turn | trunk drop | no | Left T focal flattening/LVFA | rhythmic theta activity spreading over right F-T regions |
background activity asymmetry (<in left hemisphere) | 1/2 | 6 | 16 |
| 8 | dizziness; ascending epigastric nausea | behavioral/speech arrest; impaired awareness | pallor sweating | late diffuse myo-jerks |
confusional state | Left T-F rhythmic theta activity | rhythmic theta activity spreading over right F-T regions |
diffuse theta-delta slowing (burst suppression-like pattern) | 1/2 | 16 | 120 |
LVFA = low voltage fast activity; T = temporal; F = frontal; P = parietal; C = central; IA = ictal asystole.