Paroxysmal phenomena in the first two years of life.

Dev Med Child Neurol

TNO Prevention and Health, Leiden, The Netherlands.

Published: December 1995

AI Article Synopsis

  • A study involving 1854 Dutch-speaking children assessed paroxysmal phenomena (like sudden loss of consciousness and involuntary movements) in the first two years of life through mothers' reports at Child Health Clinics.
  • About 25% of the children experienced these episodes, with 8% occurring only during feeding and 19% occurring independently of feeding.
  • Children with non-feeding related episodes were more likely to be hospitalized and had higher rates of disabilities by age two, highlighting the need for increased attention from healthcare providers for these cases.

Article Abstract

The prevalence of paroxysmal phenomena in the first two years of life was assessed in 1854 children of Dutch-speaking mothers of a population-based birth cohort. At each visit to the Child Health Clinic (CHC), mothers were asked whether they had noted sudden change of consciousness, involuntary movements, deviation of the eyes or apnoea, and if so, whether these appeared to be related to feeding. Paroxysmal episodes occurred in a quarter of the children: in 8 per cent only in relation to feeding, in 19 per cent also not related to feeding. The latter children were more frequently admitted to hospital and had more disabilities at age two years. No connection with epilepsy in the family or with congenital anomalies could be demonstrated. Special attention should be paid by the CHC team to children with paroxysmal phenomena not associated with feeding.

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Source
http://dx.doi.org/10.1111/j.1469-8749.1995.tb11970.xDOI Listing

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