Breath holding spells are reflexive characterised by the crying stopping at full expiration and the child becomes pale, cyanotic or apnoeic.
Events typically initiated by a provocative event that causes anger, frustration or pain causing the child to cry
Episodes may be cyanotic (common type), pallid (similar to syncope) or mixed
Clinical Features
● Cyanosis
● Apnoea
● Pallor (pale appearance)
● Loss of consciousness
● Tonic clonic seizure may be seen
Treatment
● Rule out other causes
● Reassurance
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