A pediatric patient with a seizure disorder may present with sudden episodes of apnea. While more common in neonates or infants these can occur in older children as well.


Clinical features:

(1) The onset of apnea with cyanosis.

(2) Variable concurrent bradycardia.

(3) Variable abnormal limb movements.

(4) Evidence of complex partial seizure activity on EEG during an episode.

(5) Exclusion of other causes.


Triggers may include:

(1) surgery

(2) drinking or eating (with gastroesophageal reflux)


If a child presents with repeated apneic attacks that are unexplained, then EEG testing may be indicated.


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