Skip to main content
Top
Published in: Pediatric Cardiology 6/2005

01-12-2005

Asystole during Outbursts of Laughing in a Child with Angelman Syndrome

Authors: W.Y. Vanagt, C.F. Pulles-Heintzberger, K. Vernooy, R.N. Cornelussen, T. Delhaas

Published in: Pediatric Cardiology | Issue 6/2005

Login to get access

Abstract

A girl with Angelman syndrome had recurrent episodes of ventricular asystole and syncope caused by severe vagal hypertonia during outbursts of laughing. After intravenous administration of atropine, laughing no longer induced asystole or syncope. The vast majority of patients with Angelman syndrome have seizures. Since hypoxia associated with asystole can provoke convulsions, we suggest electrocardiographic evaluation of Angelman patients with symptomatic bradycardia, loss of consciousness, or convulsions related to laughing.
Literature
1.
go back to reference Angelman H (1965) “Puppet children.” A report of three cases. Dev Med Child Neurol 7:681–688 Angelman H (1965) “Puppet children.” A report of three cases. Dev Med Child Neurol 7:681–688
2.
go back to reference Breningstall GN (1996) Breath-holding spells. Pediatr Neurol 14:91–97PubMed Breningstall GN (1996) Breath-holding spells. Pediatr Neurol 14:91–97PubMed
3.
go back to reference BucKley RH, Dinno N, Weber P (1998) Angelman syndrome; are the estimates too low? Am J Med Genet 80:385–390CrossRefPubMed BucKley RH, Dinno N, Weber P (1998) Angelman syndrome; are the estimates too low? Am J Med Genet 80:385–390CrossRefPubMed
4.
go back to reference Clayton-Smith J, Laan L (2003) Angelman syndrome: a review of the clinical and genetic aspects. J Med Genet 40:87–95CrossRefPubMed Clayton-Smith J, Laan L (2003) Angelman syndrome: a review of the clinical and genetic aspects. J Med Genet 40:87–95CrossRefPubMed
5.
go back to reference Douchin S, Do-Ngoc D, Rossignol AM, et al. (2000) Angelman syndrome and severe vagal hypertooja. Three pediatric case reports. Arch Mal Coeur Vaiss 93:559–563 Douchin S, Do-Ngoc D, Rossignol AM, et al. (2000) Angelman syndrome and severe vagal hypertooja. Three pediatric case reports. Arch Mal Coeur Vaiss 93:559–563
6.
go back to reference Laan LA, van Haeringen A, Brouwer OF (1999) Angelman syndrome: a review of clinical and genetic aspects. Clin Neurol Neurosurg 101:161–170CrossRefPubMed Laan LA, van Haeringen A, Brouwer OF (1999) Angelman syndrome: a review of clinical and genetic aspects. Clin Neurol Neurosurg 101:161–170CrossRefPubMed
Metadata
Title
Asystole during Outbursts of Laughing in a Child with Angelman Syndrome
Authors
W.Y. Vanagt
C.F. Pulles-Heintzberger
K. Vernooy
R.N. Cornelussen
T. Delhaas
Publication date
01-12-2005
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 6/2005
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-005-0985-5

Other articles of this Issue 6/2005

Pediatric Cardiology 6/2005 Go to the issue

OriginalPaper

From Other Journals