Abstract

A healthy 10-year-old boy vomited during sleep and later complained of abdominal pain; he became drowsy and uncommunicative. At the nearby hospital E.R., he deteriorated rapidly, and his respiratory movements were absent with cardiac arrest. He was immediately resuscitated. Brain MRI showed no abnormalities. EEG revealed an abnormal pattern with recurrent multifocal epileptiform activity over the bilateral occipital and frontal regions during sleep. Based on the clinical/radiological findings we diagnosed Panayiotopoulos syndrome (PS), a benign form of early-onset pediatric epilepsy characterized by autonomic symptoms. Lifethreating cardiopulmonary arrest is rare in PS, but long seizure duration of PS may associate with apnea and bradycardia.

Original languageEnglish
Pages (from-to)297-300
Number of pages4
JournalActa Medica Okayama
Volume72
Issue number3
Publication statusPublished - Jan 1 2018

Fingerprint

Status Epilepticus
Stroke
Heart Arrest
Pediatrics
Sleep
Electroencephalography
Magnetic resonance imaging
Occipital Lobe
Brain
Apnea
Bradycardia
Abdominal Pain
Epilepsy
Seizures

Keywords

  • Afebrile seizure
  • Autonomic symptom
  • Cardiac arrest
  • EEG
  • Pediatric epilepsy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

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title = "Ictal cardiorespiratory arrest associated with status epilepticus in panayiotopoulos syndrome",
abstract = "A healthy 10-year-old boy vomited during sleep and later complained of abdominal pain; he became drowsy and uncommunicative. At the nearby hospital E.R., he deteriorated rapidly, and his respiratory movements were absent with cardiac arrest. He was immediately resuscitated. Brain MRI showed no abnormalities. EEG revealed an abnormal pattern with recurrent multifocal epileptiform activity over the bilateral occipital and frontal regions during sleep. Based on the clinical/radiological findings we diagnosed Panayiotopoulos syndrome (PS), a benign form of early-onset pediatric epilepsy characterized by autonomic symptoms. Lifethreating cardiopulmonary arrest is rare in PS, but long seizure duration of PS may associate with apnea and bradycardia.",
keywords = "Afebrile seizure, Autonomic symptom, Cardiac arrest, EEG, Pediatric epilepsy",
author = "Hirotsugu Yamamoto and Hiromichi Naito and Takaaki Osako and Kohei Tsukahara and Taihei Yamada and Tetsuya Yumoto and Atsuyoshi Iida and Yoshinori Kosaki and Makio Oka and Fumika Endoh and Akira Gochi and Atsunori Nakao",
year = "2018",
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pages = "297--300",
journal = "Acta Medica Okayama",
issn = "0386-300X",
publisher = "Okayama University",
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TY - JOUR

T1 - Ictal cardiorespiratory arrest associated with status epilepticus in panayiotopoulos syndrome

AU - Yamamoto, Hirotsugu

AU - Naito, Hiromichi

AU - Osako, Takaaki

AU - Tsukahara, Kohei

AU - Yamada, Taihei

AU - Yumoto, Tetsuya

AU - Iida, Atsuyoshi

AU - Kosaki, Yoshinori

AU - Oka, Makio

AU - Endoh, Fumika

AU - Gochi, Akira

AU - Nakao, Atsunori

PY - 2018/1/1

Y1 - 2018/1/1

N2 - A healthy 10-year-old boy vomited during sleep and later complained of abdominal pain; he became drowsy and uncommunicative. At the nearby hospital E.R., he deteriorated rapidly, and his respiratory movements were absent with cardiac arrest. He was immediately resuscitated. Brain MRI showed no abnormalities. EEG revealed an abnormal pattern with recurrent multifocal epileptiform activity over the bilateral occipital and frontal regions during sleep. Based on the clinical/radiological findings we diagnosed Panayiotopoulos syndrome (PS), a benign form of early-onset pediatric epilepsy characterized by autonomic symptoms. Lifethreating cardiopulmonary arrest is rare in PS, but long seizure duration of PS may associate with apnea and bradycardia.

AB - A healthy 10-year-old boy vomited during sleep and later complained of abdominal pain; he became drowsy and uncommunicative. At the nearby hospital E.R., he deteriorated rapidly, and his respiratory movements were absent with cardiac arrest. He was immediately resuscitated. Brain MRI showed no abnormalities. EEG revealed an abnormal pattern with recurrent multifocal epileptiform activity over the bilateral occipital and frontal regions during sleep. Based on the clinical/radiological findings we diagnosed Panayiotopoulos syndrome (PS), a benign form of early-onset pediatric epilepsy characterized by autonomic symptoms. Lifethreating cardiopulmonary arrest is rare in PS, but long seizure duration of PS may associate with apnea and bradycardia.

KW - Afebrile seizure

KW - Autonomic symptom

KW - Cardiac arrest

KW - EEG

KW - Pediatric epilepsy

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