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ARTICLE |

Fatal Aspiration in an Epileptic Infant— Risk of a Propped Bottle

Edwin C. Dunn, MD; Russell D. Snyder, MD
JAMA. 1969;207(4):757-758. doi:10.1001/jama.1969.03150170083025.
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To the Editor:—  The risks of tongue biting, swallowing of the tongue, and aspiration during epileptic seizures are well known to physicians. Aspirations by infants who have convulsive disorders is a particular problem. The purpose of this report is to present an infant who aspirated from a propped bottle during a convulsion and to call the physician's attention to this danger.

Report of a Case:—  The patient was a 5 1/2-month-old white female admitted to Bernalillo County-Indian Hospital on Oct 20, 1967. Birth weight was 6 lb, 7 oz, and there were no perinatal problems. The patient was well until 3 months of age when seizures developed. These comprised the following sequence of events: tonic extension of the extremities, gasping respirations, pallor, and defecation and urination. These episodes lasted from one-half to two minutes and occurred from one to five times a week.Physical and neurological examination at the time

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