Andrade Edgard O, Arain Amir, Malow Beth A
Department of Neurology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Pediatr Neurol. 2006 Nov;35(5):359-62. doi: 10.1016/j.pediatrneurol.2006.06.010.
Apnea is a symptom present in many conditions. During the neonatal period, apnea has been associated with epileptiform activity in the absence of posturing. However, the occurrence of apneic seizures without posturing beyond the neonatal period is an uncommon presentation for partial epilepsy. The aim of this case report is to present a rarely documented cause of apnea and desaturation in an otherwise healthy 24-month-old child. Further investigations revealed that the etiology of the spells was partial seizures originating in the right anterior midtemporal region. Polysomnography with extended electroencephalography and video is the gold standard tool to evaluate patients with apnea due to suspected seizures.
呼吸暂停是许多病症中都存在的一种症状。在新生儿期，呼吸暂停与无姿势改变时的癫痫样活动有关。然而，在新生儿期之后出现无姿势改变的呼吸暂停性癫痫发作是部分性癫痫的一种不常见表现。本病例报告的目的是呈现一名24个月大健康儿童中罕见的呼吸暂停和血氧饱和度下降的病因。进一步检查发现，发作的病因是起源于右侧颞叶中部前区的部分性癫痫发作。带有扩展脑电图和视频的多导睡眠图是评估疑似癫痫发作导致呼吸暂停患者的金标准工具。
