Pediatric Emergency Care

Skip Navigation LinksHome > November 2011 - Volume 27 - Issue 11 > Abusive Suffocation Presenting as New-Onset Seizure
Pediatric Emergency Care:
doi: 10.1097/PEC.0b013e3182360620
Illustrative Cases

Abusive Suffocation Presenting as New-Onset Seizure

Oral, Resmiye MD*; Koc, Feyza MD†; Smith, Jacob MS-IV; Sato, Yutaka MD‡

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Child abuse can often be very difficult to identify. This is especially true in cases of abuse by suffocation. Suffocation often leaves no external physical marks and presents with vague, nonspecific symptoms. Infants who have been suffocated usually present unexplained apnea, cyanosis, or seizure. Moreover, new-onset seizures can be mistaken for an organic seizure disorder. This case report reviews a case of abuse by suffocation, which presented as new-onset status epilepticus. This case illustrates that suffocation can be difficult to diagnose despite the recognition of red flags that should prompt an investigation for abuse.

© 2011 Lippincott Williams & Wilkins, Inc.


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