Partial Epilepsy Presenting as Apneic Seizures Without Posturing

Apnea is a symptom present in many conditions. During the neonatal period, apnea has been associated with epileptiform activity in the absence of posturing. However, the occurrence of apneic seizures without posturing beyond the neonatal period is an uncommon presentation for partial epilepsy. The aim of this case report is to present a rarely documented cause of apnea and desaturation in an otherwise healthy 24-month-old child. Further investigations revealed that the etiology of the spells was partial seizures originating in the right anterior midtemporal region. Polysomnography with extended electroencephalography and video is the gold standard tool to evaluate patients with apnea due to suspected seizures.