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Journal of Child Neurology, Vol. 22, No. 9, 1079-1083 (2007)
DOI: 10.1177/0883073807306245

Apnea Caused by Mesial Temporal Lobe Mass Lesions in Infants: Report of 3 Cases

Tadashi Miyagawa, MD

Department of Neurological Surgery, University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington

Marcio Sotero, MD

Depatment of Neurology (MS, JK, RPS), University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington

Anthony M. Avellino, MD

Department of Neurological Surgery, University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington

John Kuratani, MD

Depatment of Neurology (MS, JK, RPS), University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington

Russell P. Saneto, DO, PhD

Depatment of Neurology (MS, JK, RPS), University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington

Richard G. Ellenbogen, MD

Department of Neurological Surgery, University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington

Jeffrey G. Ojemann, MD

Department of Neurological Surgery, University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington, jeff.ojemann{at}seattlechildrens.org

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.

Key Words: apnea • seizure • mesial temporal lesion


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