PEDS: Congenital Central Hypoventilation Syndrome (CCHS)

Beyond the Pearls: Cases for Med School, Residency and Beyond

Today's Episode

Alexis reviews Case 48 from the Pediatric Morning Report book.

A 7-week-old term male infant is brought in by his mother to the emergency department (ED) for the second time, with the chief complaint of episodes of pauses in breathing dur- ing sleep. These episodes are associated with perioral cyanosis lasting about 15 to 20 seconds, which resolves with gentle stimulation, such as tickling of his feet. Sometimes, these episodes are associated with pallor. His past medical history is significant for low Apgar scores requir- ing observation in the neonatal infant care unit (NICU), where he was noted to have periodic breathing. He was first seen at the ED at 1 month of age for short apnea and pallor, where he was observed overnight and diagnosed with a brief, resolved, unexplained event (BRUE). On physical examination, temperature is 36.9°C, heart rate is 130 beats/min, blood pressure is 87/50 mm Hg, respiratory rate is 32 breaths/min, and oxygen saturation is 97% on room air. He is well nourished, well developed, and not in respiratory distress. The breath sounds are clear. The rest of the physical examination is normal.

Today's Host

Alexis Burnette is a medical resident at Los Angeles General Medical Center.

About Dr. Raj

Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles.

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