Ictal cardiorespiratory arrest associated with status epilepticus in panayiotopoulos syndrome

Hirotsugu Yamamoto; Hiromichi Naito; Takaaki Osako; Kohei Tsukahara; Taihei Yamada; Tetsuya Yumoto; Atsuyoshi Iida; Yoshinori Kosaki; Makio Oka; Fumika Endoh; Akira Gochi; Atsunori Nakao

Ictal cardiorespiratory arrest associated with status epilepticus in panayiotopoulos syndrome

Hirotsugu Yamamoto, Hiromichi Naito, Takaaki Osako, Kohei Tsukahara, Taihei Yamada, Tetsuya Yumoto, Atsuyoshi Iida, Yoshinori Kosaki, Makio Oka, Fumika Endoh, Akira Gochi, Atsunori Nakao

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

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 - 2018

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",

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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

Y1 - 2018

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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ER -

Ictal cardiorespiratory arrest associated with status epilepticus in panayiotopoulos syndrome

Abstract

Keywords

ASJC Scopus subject areas

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