Apneic Seizures in the Newborn FREE

Kazuyoshi Watanabe, MD; Kimiko Hara, MD; Shuji Miyazaki, MD; Susumu Hakamada, MD; Masao Kuroyanagi, MD

Reprint requests to Department of Pediatrics, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466, Japan (Dr Watanabe).

Am J Dis Child. 1982;136(11):980-984. doi:10.1001/archpedi.1982.03970470024006.

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ABSTRACT

ABSTRACT | REFERENCES

• Electroclinical features of convulsive apnea and its relation to the behavioral state were described on the basis of polygraphic recordings from 21 newborns with various underlying disorders, including perinatal anoxia, purulent meningitis, and intracranial bleeding. The most frequent ictal discharges were rhythmic alpha waves, but other types of discharges, such as repeated sharp waves, rhythmic theta waves, delta waves, and repeated paroxysmal wave complexes, were also frequently seen. The area where the ictal discharges initially occurred or were most prominent was the temporal area, suggesting the limbic origin of apneic seizures. In more than half of the cases, the sleep cycle was abolished. In those cases where the sleep cycle was preserved, the seizures occurred most frequently in active sleep, but never in quiet sleep.

(Am J Dis Child 1982;136:980-984)

REFERENCES

ABSTRACT | REFERENCES

Dreyfus-Brisac C, Monod N: Electroclinical studies of status epilepticus and convulsions in the newborn , in Kellaway P, Petersen I (eds): Neurological and Electroencephalographic Correlative Studies in Infancy . New York, Grune & Stratton Inc, 1964;, pp 250-272.

Schulte FJ, Jurgens U: Apnoen bei reifen und unreifen neugeborenen . Monatsschr Kinderheilkd 1969;;117:595-601.

Volpe JJ: Neonatal seizures , in Neurology of the Newborn . Philadelphia, WB Saunders Co, 1981;, pp 111-137.

Willis J, Gould JB: Periodic alpha seizures with apnea in a newborn . Dev Med Child Neurol 1980;;22:214-222.

Watanabe K: Seizures in the newborn and young infants . Folia Psychiatr Neurol Jpn 1981;; 35:275-279.

Knauss TA, Carlson CB: Neonatal paroxysmal monorhythmic alpha activity . Arch Neurol 1978;;35:104-107.

Watanabe K, Hara K, Miyazaki S, et al: Electroclinical studies of seizures in the newborn . Folia Psychiatr Neurol Jpn 1977;;31:383-392.

Nelson DA, Del W, Ray CD: Respiratory arrest from seizure discharges in the limbic system . Arch Neurol 1968;;19:199-207.

Purpura DP: Stability and seizure susceptibility of immature brain , in Jasper HH, Ward AA, Pope A (eds): Basic Mechanism of Epilepsies . Boston, Little Brown & Co, 1969;, pp 481-505.

Gould JB, Lee AFS, James O, et al: The sleep state characteristics of apnea during infancy . Pediatrics 1977;;59:182-194.

Waite SP, Thoman EB: Brief apneas and reliable assessment of respiratory instability . Sleep 1981;;4:61-69.

Fenichel GM, Olson BJ, Fitzpatrick JE: Heart rate changes in convulsive and nonconvulsive apnea . Ann Neurol 1980;;7:577-582.

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