Abstract
Investigators at the Roald Dahl EEG Unit, Alder Hey Children’s NHS Foundation, Liverpool, UK, review the definition, pathophysiology, clinical presentation, and management of reflex anoxic seizures (RAS) in children.
Highlights
Investigators from the Cleveland Clinic, and University of Texas Southwestern Medical Center, studied consecutive cases of cingulate gyrus epilepsy identified retrospectively from their epilepsy databases from 1992 to 2009
Home video recordings of epileptic seizures induced by syncope are reported in 3 patients with “anoxic epileptic seizures.” (Stephenson J, et al Epileptic Disord 2004 Mar;6(1):15-9)
The above author (Appleton R), a pediatric neurologist for over 22 years, avers he has never seen a child with epilepsy as a complication of reflex anoxic seizures (RAS)
Summary
Investigators from the Cleveland Clinic, and University of Texas Southwestern Medical Center, studied consecutive cases of cingulate gyrus epilepsy identified retrospectively from their epilepsy databases from 1992 to 2009. Investigators at the Roald Dahl EEG Unit, Alder Hey Children’s NHS Foundation, Liverpool, UK, review the definition, pathophysiology, clinical presentation, and management of reflex anoxic seizures (RAS) in children. Reflex asystolic syncope is proposed as the most appropriate alternative term; other terms for RAS include pallid breath-holding attacks and vasovagal syncope. A sudden injury or fright precipitates an acute loss of consciousness with opisthotonus, cyanosis, and clonic movements, resembling a short generalized tonic-clonic seizure.
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