Respiratory inhibition after crying in infants

Background: Among full‐term neonates, the authors discovered infants who showed respiratory inhibition after crying which involved a marked decrease in SpO2. The infants were found to present increased echogenicity or a cyst in a cranial region termed the ganglionic eminence, or to have a subependym...

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Bibliographic Details
Published in:Pediatrics international 2006-12, Vol.48 (6), p.536-542
Main Authors: MINOWA, HIDEKI, KUBO, SATOMI, YOSHIZAWA, HIROYUKI, HAYASHI, YUKIKO, HAYASHI, TAMAKI, YOSHIDA, KOICHI, EBISU, REIKO, UCHIDA, YUMIKO, OHGITANI, AYAKO
Format: Article
Language:English
Subjects:
Apnea - diagnostic imaging
Apnea - physiopathology
Brain Diseases - diagnostic imaging
Bronchodilator Agents - therapeutic use
Case-Control Studies
Crying
Cysts - diagnostic imaging
Female
Head - diagnostic imaging
Humans
Infant
Male
Mass Screening
Oximetry - methods
Oxygen - blood
polygraphy
Polysomnography
Prognosis
Prospective Studies
Respiration
respiratory inhibition
sudden infant death syndrome
Theophylline - therapeutic use
Treatment Outcome
Ultrasonography
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Summary:Background: Among full‐term neonates, the authors discovered infants who showed respiratory inhibition after crying which involved a marked decrease in SpO2. The infants were found to present increased echogenicity or a cyst in a cranial region termed the ganglionic eminence, or to have a subependymal cyst. The authors prospectively examined the relationship between respiratory inhibition after crying and these changes to examine the prevention and treatment of the episode. Methods: The authors conducted cranial ultrasonography to screen 381 full‐term neonates who showed no abnormalities at birth and whose parents requested ultrasonographic screening of the head, followed by polygraphy of infants who showed increased echogenicity or a cyst in ganglionic eminence, or had a subependymal cyst. The authors similarly conducted polygraphy for 50 neonates without cranial ultrasound abnormalities; the former constituted the control group. Respiratory inhibition was defined to be central apnea immediately after crying with a decrease in SpO2 to
ISSN:1328-8067
1442-200X
DOI:10.1111/j.1442-200X.2006.02269.x