The diagnosis of a breath-holding spell is made clinically. A good history including the sequence of events, lack of incontinence and no postictal phase, help to make an accurate diagnosis. Some families are advised to make a video recording of the events to aid diagnosis. An electrocardiogram (ECG) may rule out cardiac arrhythmia as a cause. There is some evidence that children with anemia (especially iron deficiency) may be more prone to breath-holding spells. WebApr 1, 2002 · Breath-holding spells (BHS) are common in early childhood, typically occurring between the ages of six months and four years. Severe pallid spells and, less commonly, cyanotic spells may be complicated by the loss of …
Baby Breath Holding: Causes, Diagnosis, Treatment, and Outlook
WebWhat is a breath-holding spell? Breath-holding spells (or ‘attacks’) ... There are two types of breath-holding spells: blue (cyanotic) breath-holding spells and pale (pallid) ones. Blue … WebMay 2, 2024 · In Breath Holding Spell (BHS), cerebral anoxia produced by asystole (pallid spell) or prolonged apnea (cyanotic spell) causes loss of consciousness during a spell and the GABA mimetic effect of Piracetam helps prevent the event. Piracetam use reduces the number of attacks in BHS significantly. It is an effective drug with minimal side-effects ... the bandy st marys
Postoperative Breath-Holding Spells Requiring Cardiopulmonary ...
WebBreath-holding spells may be cyanotic or pallid. The former are usually precipitated by anger or frustration while the latter are more often precipitated by pain or fear. In the cyanotic type, the child usually emits a short, loud cry, which leads to a sudden involuntary holding of the breath in forced expiration. WebRisk factors There appears to be a genetic component to at least some breath holding spells. About 25 percent of affected children—particularly those who experience pallid BHS—have a family history of BHS or fainting. In some cases breath holding spells may be associated with anemia (a reduced number of red blood cells) caused by an iron … WebIn toddlers, reflex syncope tends to manifest as so called “reflex anoxic seizures” or “pallid breath holding spells” with reflex asystole followed by an anoxic seizure in response to a noxious stimulus (fig 1A). 8 Of note is that the distinction between “pallid breath holding” and “blue breath holding” is more blurred than often realised. the grio logo vector