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 language | English |
|---|---|
| Pages (from-to) | 297-300 |
| Number of pages | 4 |
| Journal | Acta Medica Okayama |
| Volume | 72 |
| Issue number | 3 |
| Publication status | Published - Jan 1 2018 |
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Keywords
- Afebrile seizure
- Autonomic symptom
- Cardiac arrest
- EEG
- Pediatric epilepsy
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Ictal cardiorespiratory arrest associated with status epilepticus in panayiotopoulos syndrome. / Yamamoto, Hirotsugu; Naito, Hiromichi; Osako, Takaaki; Tsukahara, Kohei; Yamada, Taihei; Yumoto, Tetsuya; Iida, Atsuyoshi; Kosaki, Yoshinori; Oka, Makio; Endoh, Fumika; Gochi, Akira; Nakao, Atsunori.
In: Acta Medica Okayama, Vol. 72, No. 3, 01.01.2018, p. 297-300.Research output: Contribution to journal › Article
}
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
UR - http://www.scopus.com/inward/record.url?scp=85048868263&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048868263&partnerID=8YFLogxK
M3 - Article
C2 - 29926008
AN - SCOPUS:85048868263
VL - 72
SP - 297
EP - 300
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 3
ER -