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65 Possible Causes for Apnea, Generalized Motor Seizure, Lip Smacking

  • Epilepsy

    A variety of seizure types were reported: generalized tonic-clonic seizures in 511 PWE (69.4%), absences in 15 (2.0%), focal motor seizures with full awareness in 7 (1.0%)[ncbi.nlm.nih.gov] Co-morbid sleep disorders, including sleep apnea, insomnia, restless legs syndrome, and the parasomnias, occur frequently in people with epilepsy.[ncbi.nlm.nih.gov] […] and stop gradually rather than abruptly Last longer than 10 seconds Are more likely to cause falling May include automatisms such as blinking, eye fluttering, lip smacking[verywell.com]

  • Focal Onset Impaired Awareness Seizure

    Focal impaired awareness (complex partial) seizures sometimes resemble either daydreaming or generalized non motor ( absence ) seizures.[epilepsy.com] During the remainder of the attack, lip-smacking and swallowing are not uncommon.[gpnotebook.co.uk] We report a 37 year-old man who had central apnea as the initial manifestation of partial complex seizures associated with oxygen desaturation.[ncbi.nlm.nih.gov]

  • Herpes Simplex Encephalitis

    In children, the most common type of HSV is type 1, and generally affects the frontotemporal lobes of the brain affecting cognition and motor function.[encephalitis.info] Other signs, which can occur singly or in combination, include temperature instability, lethargy, hypotonia, respiratory distress, apnea, and seizures.[msdmanuals.com] He also had intermittent lip smacking movements, suggesting seizure activity.[karger.com]

  • Generalized Motor Seizure

    Despite its accepted safety, its use has been associated with generalized motor seizures, and several cases of this toxicity have been reported.[ncbi.nlm.nih.gov] But there is mental illness in my family as well as sleep apnea. I took Dilantin, then Phenytoin, then Tegretol for my seizures.[epilepsy.com] Movements of hands, like wringing, playing with buttons or objects in hands, waving Non-purposeful movements, called automatisms, involve the face, arms or legs, such as lip[epilepsytalk.com]

  • Absence Seizure

    Clinical Information Epilepsy characterized by absence seizures Generalized seizure that manifests in a form of a brief episode of impairment of consciousness with or without[icd9data.com] Signs and symptoms of absence seizures include: Sudden stop in motion without falling Lip smacking Eyelid flutters Chewing motions Finger rubbing Small movements of both hands[mayoclinic.com] In infancy, some other causes of seizure-like spells include: breath-holding spells apnea gastroesophageal reflux (Sandifer’s syndrome) In later childhood: sleep disorders[thebarrow.org]

  • Nonketotic Hyperglycinemia

    We report a neonate with the transient form of nonketotic hyperglycinemia manifested by extreme hypotonia, lethargy, apnea, and myoclonic and generalized convulsions in early[ncbi.nlm.nih.gov] At 27 hours of age, he developed seizures (abnormal posturing, cyclic movements of limbs and lip smacking) needing admission to neonatal intensive care unit.[omicsonline.org] Patients generally present in the neonatal period with lethargy, feeding difficulty, hypotonia, apnea, poorly controlled convulsions, and coma.[ncbi.nlm.nih.gov]

  • Stroke

    Those kinds of episodes can be accompanied by behavior that looks intentional but is not (such as lip smacking, picking at clothes, etc.).[urmc.rochester.edu] Jäkälä, Juha Töyräs, Sami Myllymaa, Esa Mervaala, Katja Myllymaa ERJ Open Research 2017 3: P79; DOI: 10.1183/23120541.sleepandbreathing-2017.P79 Abstract Obstructive sleep apnea[openres.ersjournals.com] Sleep apnea is defined as being present if the AHI is 5 events per hour, and an increasing AHI indicates increasing sleep apnea severity. 267 The prevalence of sleep apnea[doi.org]

  • Status Epilepticus

    The second type of NCSE (subtle status epilepticus [SSE]) must be considered in comatose patients who present after a prolonged generalized tonic-clonic seizure and who may[ncbi.nlm.nih.gov] (particularly when this is uncommon for the child) Features include altered mental state, confusion, unresponsiveness, abnormal (often subtle) motor movements, twitches, lip-smacking[dontforgetthebubbles.com] Breathing: Hypoxemia may result from respiratory depression/apnea, aspiration, airway obstruction, and neurogenic pulmonary edema [41]. • All children with SE should have[indianpediatrics.net]

  • Rolandic Epilepsy

    Common features include oropharyngeal somatosensory symptoms, facial motor seizures during drowsiness, and brief nocturnal generalized tonic-clonic seizures.[mdedge.com] Moreover, the mean value of the obstructive apnea index and the obstructive apnea-hypopnea index was significantly higher in children with rolandic epilepsy compared with[ncbi.nlm.nih.gov] These may range from gagging, lip smacking, running, screaming, crying, or laughing. Your child may be tired or sleepy after the seizure.[cedars-sinai.edu]

  • Pyridoxine Dependency Syndrome

    There can be apnea, lethargy and hypotonia subsequent to parenteral B6 administration.[indianpediatrics.net] Next day, he developed lip smacking, posturing, and eye rolling, which resolved without addition of other antiepileptic medications.[pediatrics.aappublications.org] In the series by Mikati, et al. (1) there was apnea and hypotonia in three out of five children. But artificial respiration was not needed in these patients.[indianpediatrics.net]

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