Autonomic regulation in epilepsy

Zhuravlev D, Guekht A, J. Hilz M (2022)

Publication Type: Authored book

Publication year: 2022

Publisher: Elsevier

ISBN: 9780323854924

DOI: 10.1016/B978-0-323-85492-4.00016-8

Abstract

Autonomic dysfunction is commonly observed in people with epilepsy as ictal symptoms of epileptic seizures and interictal impairment of heart rate and blood pressure modulation. Ictal autonomic dysfunction may manifest as gastrointestinal, urogenital, cutaneous, pupillary, respiratory, and cardiovascular symptoms. Certain ictal autonomic symptoms depend on the structures of the central autonomic network involved in the epileptogenic process. In some cases, ictal autonomic symptoms may have localizing and lateralizing value. Abrupt postictal or even interictal disruption of autonomic respiratory and cardiovascular control might contribute to sudden unexpected death in epilepsy patients. Temporal lobe epilepsy surgery appears to be beneficial for patients with structural epilepsy and autonomic cardiovascular dysfunction, whereas the effect of vagus nerve stimulation or antiepileptic drugs on autonomic nervous system is still under debate.

Involved external institutions

Moscow Research and Clinical Center for Neuropsychiatry RU Russian Federation (RU) Icahn School of Medicine at Mount Sinai US United States (USA) (US)

How to cite

APA:

Zhuravlev, D., Guekht, A., & J. Hilz, M. (2022). Autonomic regulation in epilepsy. Elsevier.

MLA:

Zhuravlev, Dmitry, Alla Guekht, and Max J. Hilz. Autonomic regulation in epilepsy. Elsevier, 2022.

BibTeX: Download