Apnea as the Sole Manifestation of a Seizure Attributable to Meningioangiomatosis of the Temporal Lobe in an Infant

• Published in: Pediatric neurology 2012-08, Vol.47 (2), p.144-146
• Main Authors: Jansen, Katrien, MD, Sciot, Raf, MD, PhD, Lagae, Lieven, MD, PhD
• Format: Article
• Language: English
• Subjects: Apnea - diagnosis; Apnea - etiology; Apnea - physiopathology; Biological and medical sciences; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy; Humans; Infant; Male; Medical sciences; Meningeal Neoplasms - complications; Meningeal Neoplasms - diagnosis; Meningeal Neoplasms - physiopathology; Meningioma - complications; Meningioma - diagnosis; Meningioma - physiopathology; Nervous system (semeiology, syndromes); Neurology; Pediatrics; Seizures - diagnosis; Seizures - etiology; Seizures - physiopathology; Temporal Lobe - pathology; Temporal Lobe - physiopathology
• ISSN: 0887-8994; 1873-5150
• DOI: 10.1016/j.pediatrneurol.2012.04.025

Abstract An 8-month-old boy presented with periods of apnea occurring several times daily. Initial clinical and radiologic evaluations could not identify a cause for these episodes. Video electroencephalographic monitoring indicated interictal high-voltage and δ activity over the right frontotemporal area. A short ictal run of δ activity over the same region was registered during a brief apneic spell. Cranial magnetic resonance imaging revealed a lesion anteromedial in the right temporal lobe. After epilepsy surgery, anatomopathologic examination indicated meningioangiomatosis. This case demonstrates that a focal lesion in the temporal lobe can present during infancy with apnea as sole seizure manifestation, without other clear clinical evidence.