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Infants experiencing apnea and bradycardia may have seizures. Left temporal lobe seizures can trigger these events, suggesting partial seizures as a diagnosis.
Area of Science:
- Neurology
- Pediatrics
- Epileptology
Background:
- Apnea and bradycardia are critical events in infants.
- Seizures are a potential, though less common, cause of these events.
Observation:
- Video-electroencephalogram (EEG) monitoring was used in an infant presenting with apnea and bradycardia.
- Three seizure events were captured, correlating neurological activity with cardiorespiratory symptoms.
Findings:
- A left temporal paroxysmal discharge, indicative of a partial seizure, consistently preceded the onset of apnea.
- This suggests a causal link between focal epileptic activity and cardiorespiratory compromise.
Implications:
- Partial seizures should be considered in the differential diagnosis for infants with apnea and bradycardia.
- Early identification and treatment of these seizures may prevent severe cardiorespiratory events.
Abstract:
Seizures developed in an infant who had apnea and severe bradycardia. Split-screen video-EEG monitoring of three such seizures showed that a left temporal paroxysmal discharge preceded the apnea. Partial seizures should be included in the differential diagnosis of infants with attacks of apnea and bradycardia.