Atropine treatment of reflex anoxic seizures.
نویسندگان
چکیده
In 7 children with unusually severe or frequent reflex anoxic seizures atropine treatment, which was well tolerated, reduced seizure frequency by a mean value of 98%. Treatment withdrawal (five patients) was followed by an increase in seizure frequency and reintroduction (three patients) by restoration of control.
منابع مشابه
Reflex anoxic seizures ('white breath-holding'): nonepileptic vagal attacks.
From clinical history 58 children were diagnosed as having reflex anoxic seizures secondary to provoked cardioinhibition (also known as white breath-holding attacks). Before referral, these seizures were commonly misdiagnosed as epileptic either because the provocation was ignored, not recognised, or was a febrile illness, or because there was no crying, no obvious breath-holding, little cyanos...
متن کاملAnesthesia for a child with reflex anoxic seizures.
Reflex anoxic seizure is a vagally mediated cardiac arrest producing cerebral ischemia (1). Infants and young children aged 6 mo to 2 yr are particularly susceptible, with girls being more commonly affected. The attack is almost always provoked by pain or fright; venipuncture or an excessively hot or cold both are recognized examples (2). Anesthesia can also precipitate an attack (3). The sudde...
متن کاملPerioperative deaths among children.
One child. London: Spastics International Medical Publications, William Heinemann Medical Books; Philadelphia: J B Lippincott, 1982:75-83. 12 McWilliam RC, Stephenson JPBP. Atropine treatment of reflex anoxic seizures. Arch I)is Child 1984;59:473-8. 13 Rutter N, Southall DP. Cardiac arrhythmias misdiagnosed as epilepsy. Arch Dis Child 1985;60:91-4. 14 Taylor DC. Aspects of seizure disorders II....
متن کاملGlycopyrrolate and theophylline for the treatment of severe pallid breath-holding spells.
Severe pallid breath-holding spells (BHSs) are based on parasympathetic hyperactivity, leading to cardiac asystole, pallor, brain ischemia, loss of consciousness, and reflex anoxic seizures. In recent years, an increasing number of patients with severe pallid BHSs have been successfully treated with pacemaker implantation. We present the case of a 13-month-old girl suffering from repeated sever...
متن کاملCardiac pacing for severe childhood neurally mediated syncope with reflex anoxic seizures.
OBJECTIVE To determine whether permanent cardiac pacing could prevent syncope and seizures in children with frequent severe neurally mediated syncope, and if so whether dual chamber pacing was superior to single chamber ventricular pacing. METHODS Dual chamber pacemakers were implanted into 12 children (eight male, four female) aged 2-14 years (median 2.8 years) with frequent episodes of refl...
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ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 59 5 شماره
صفحات -
تاریخ انتشار 1984