Document Detail

Diverse presentation of breath holding spells: two case reports with literature review.
MedLine Citation:
PMID:  24191206     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Breath holding spells are a common and dramatic form of syncope and anoxic seizure in infancy. They are usually triggered by an emotional stimuli or minor trauma. Based on the color change, they are classified into 3 types, cyanotic, pallid, and mixed. Pallid breath holding spells result from exaggerated, vagally-mediated cardiac inhibition, whereas the more common, cyanotic breathholding spells are of more complex pathogenesis which is not completely understood. A detailed and accurate history is the mainstay of diagnosis. An EKG should be strongly considered to rule out long QT syndrome. Spontaneous resolution of breath-holding spells is usually seen, without any adverse developmental and intellectual sequelae. Rare cases of status epilepticus, prolonged asystole, and sudden death have been reported. Reassurance and education is the mainstay of therapy. Occasionally, pharmacologic intervention with iron, piracetam; atropine may be of benefit. Here we present 2 cases, one of each, pallid and cyanotic breath holding spells.
Geetanjali Rathore; Paul Larsen; Cristina Fernandez; Manish Parakh
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Publication Detail:
Type:  Journal Article     Date:  2013-09-26
Journal Detail:
Title:  Case reports in neurological medicine     Volume:  2013     ISSN:  2090-6668     ISO Abbreviation:  Case Rep Neurol Med     Publication Date:  2013  
Date Detail:
Created Date:  2013-11-05     Completed Date:  2013-11-05     Revised Date:  2013-11-07    
Medline Journal Info:
Nlm Unique ID:  101576451     Medline TA:  Case Rep Neurol Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  603190     Citation Subset:  -    
Pediatric Neurology, Baylor College of Medicine, Houston, TX 77030, USA.
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