Arrhythmia: Neonatal Cannabis Withdrawal Syndrome

Fetal exposure to cannabis causes many risks, the main one is the neonatal withdrawal syndrome. This syndrome associates neurological and digestive signs. Arrhythmias are rarely described. It can be life threatening. We report a neonatal withdrawal cannabis syndrome revealed by arrhythmia; with a literature review and an observation collected at the neonatal intensive care unit, Mohamed VI University Hospital, Marrakesh. She was a newborn female, admitted at the first hour for arrhythmia. Her mother was a massive exposure of the passive cannabis throughout pregnancy. The fetal heart rhythm disorder that motivated the caesarean section. At admission; the newborn had presented bradycardia of up to 40 beats per minute and tachycardia especially during stimuli. The somatic and the paraclinical examination were all normal. Neonatal withdrawal syndrome was diagnosed. Continuous monitoring was rigorous, means of nursing by decrease the sound and luminous stimuli, a rich and fractionated diet and the kangaroo method. There was an improvement in heart rate after 10 days.