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In medieval times, epilepsy was called the “falling evil” or “falling sickness.”1 In modern times, falling seizures still merit our consideration because they cause serious injuries and indicate severe forms of epilepsy.2 Furthermore, as reported in this issue of Neurology® by Rubboli et al.,3 some epileptic falls are due to a potentially life-threatening heart disorder, seizure-induced cardiac asystole, a condition that may be a precursor for sudden unexpected death in epilepsy (SUDEP).4
In their report, Rubboli et al. illustrate, with video-EEG monitoring, striking examples of three patients with medically intractable focal seizures with sudden falls resulting from seizure-induced cardiac asystole.3 They present the clinical characteristics of such events, and demonstrate the value of video-EEG monitoring for diagnosing seizure-induced cardiac asystole and guiding subsequent therapy.3
Falling seizures are common in epilepsy. This is particularly true for severe and intractable forms of epilepsy such as the Lennox-Gastaut syndrome.2 Epileptic falls produce serious injuries such as head, spine, …
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