Breath Holding Spells

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Definition

-  Reflex holding of breath in response to distress

-  Blue Spells (cyanotic)

-  Pale Spells (pallid)

 

Features

-  Common in toddlers & young babies (5%)

-  Often ass w toddler tantrums: reflex action

-  Blue Spells

-  Most common

-  Upset --> cry --> breath hold --> red --> blule --> limp +/- seizure (rare)

-  Pale Spells

-  Scary to observe

-  Upset --> breath hold --> syncope & pallor

-  May be related to IDA

-  May have positive family Hx

-  Usually start before 18 months & cease by 6yrs

 

Mx

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