PEDIATRICS Vol. 1 No. 3 March 1948, pp. 327-330
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STOKES-ADAMS SYNDROME ASSOCIATED WITH COMPLETE CONGENITAL HEART BLOCK IN INFANCY AND CHILDHOOD

SAMUEL J. NICHAMIN M.D.1

1 The Children's Hospital of Michigan and Department of Pediatrics, Wayne University College of Medicine.

Complete congenital heart block with syncopal or convulsive seizure reaction (Stokes-Adams syndrome), although a rare condition, requires differentiation from other types of fainting spells and convulsive disorders of infancy and childhood. Symptoms of this syndrome, aside from the cerebral manifestations, are few.

Stokes-Adams attacks represent an emergency because of the possibility of sudden death. Congenital heart block without attacks is compatible with a normal life expectancy.

Stokes-Adams syndrome in this case seemed to be precipitated by mild respiratory infections and over-exertion. Asymmetric deviations of cervical pulsations, facial contour and EEG tracings were noted.

Submitted on October 13, 1947




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