Naci CEVİZ, Hüseyin TAN, Mustafa BÜYÜKAVCI

Seizures presented with severe apneic-bradycardic attacks: A case report

Yenidoğan döneminden sonra konvülzif apne ve onu eşlik eden bradikardi nadirdir. Biz bradikardinin eşlik ettiği konvülzif apneli 4 aylık bir bebek sunuyoruz. Dikkatli klinik değerlendirme, bu bebekde apneik-bradikardik ataklardan hemen önce olan boş bakma, baş ve gözlerde tonik deviasyon ile karakterize parsiyel epilepsi tanısını koydurdu. Bu olgu epilepsi tanısında her zaman ileri tetkiklerin gerekli olmadığını gösterir.

Apneik-bradikardik ataklarla karakterize epilepsi olgusu

Convulsive apnea is rarely seen after neonatal period, and it is infrequently accompanied to severe bradycardia. We present a 4-month-old boy with convulsive apnea associated with bradycardia. Careful clinical assessment of the infant revealed partial seizures characterized by staring, tonic deviation of the eyes and head just before apneicbradycardic attacks. This case indicates that comprehensive procedures is not always necessary for the diagnosis of epilepsy.

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1. Pellock JM. Managing pediatric epilepsy syndromes with new antiepileptic drugs. Pediatrics 1999;104:1106-1116.
2. Navelet Y, Wood C, Robieux I, Tardieu M. Seizures presenting as apnoea. Arch Dis Child. 1989;64(3):357-359.
3. Freed GE, Martinez F. Atypical seizures as the cause of apnea in a 6-month-old child. Clin Pediatr 2001;40:283-285.
4. Brodie MJ, Dichter MA. Antiepileptic drugs. N Engl J Med 1996;334:168-175.
5. Shuper A, Mimouni M. Problems of differentiation between epilepsy and nonepileptic paroxysmal events in the first year of life. Arch Dis Child 1995;73:342-344.
6. Coulter DL. Partial seizures with apnea and bradycardia. Arch Neurol 1984;41: 173-174.
7. Fenichel GM, Olson BJ, Fitzpatrick JE. Heart rate changes in convulsive and nonconvulsive neonatal apnea. Ann Neurol 1980;7:577-582.
8. Blumhardt LD, Smith PEM, Owen L. Electrographic accompaniments of temporal lobe epileptic seizures. Lancet 1986;1051-55.
9. Nashef L, Walker F, Allen P, Sander JWAS, Shorvon SD, Fish DR. Apnoea and bradycardia during epileptic seizures: relation to sudden death in epilepsy. J Neurol Neurosurg Psychiatry 1996;60:297-300.
10. Ellis N, Upton D, Thompson P.Epilepsy and the family: a review of current literature. Seizure 2000;9:22-30.