Apnea caused by mesial temporal lobe mass lesions in infants: report of 3 cases.
Apnea as an isolated manifestation of seizures is well described in neonates but is only occasionally observed in infants. This article reports 3 infants presenting with apneic events as the main manifestation of seizure, documented by video electroencephalogram, all with mesial temporal lobe lesions. The 3 infants, after normal pregnancy and delivery at term, showed the first apnea at the age of 4 to 10 months. Although the interictal electroencephalogram result was often normal, ictal video electroencephalogram in all infants showed focal rhythmic discharges with or without generalization. Magnetic resonance imaging showed an inferior mesial temporal lobe mass lesion in all infants. All patients underwent lesion removal, and they are seizure free with normal psychomotor development.
Miyagawa
Tadashi
T
Department of Neurological Surgery, University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington 98105, USA.
Sotero
Marcio
M
Avellino
Anthony M
AM
Kuratani
John
J
Saneto
Russell P
RP
Ellenbogen
Richard G
RG
Ojemann
Jeffrey G
JG
D001049:Apnea / Q000209:etiology* / Q000503:physiopathology; D001254:Astrocytoma / Q000150:complications* / Q000473:pathology; D001932:Brain Neoplasms / Q000150:complications* / Q000473:pathology; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D018303:Ganglioglioma / Q000150:complications* / Q000473:pathology; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D013702:Temporal Lobe / Q000473:pathology* / Q000503:physiopathology; D016896:Treatment Outcome