II. Characteristics

  1. Transient episodes of breath holding
  2. Associated with child becoming limp and unresponsive
  3. Seizure-type activity may occur

IV. Diagnostics

  1. Electroencephalogram (EEG) normal

V. Differential Diagnosis

VI. Evaluation

  1. Thorough history and examination
  2. Rule-out other Pediatric Spell
  3. Consider checking for Iron Deficiency Anemia
    1. Kolkiran (2005) Acta Paediatr 94:1227-31 [PubMed]

VII. Management

  1. No intervention is necessary
    1. In fact, interventions may reinforce behavior
  2. Position child in safe place (e.g. bed)
  3. Do not hold or play until completely recovers

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Related Studies

Ontology: Breath-holding spell (C0476287)

Concepts Sign or Symptom (T184)
ICD10 R06.89
SnomedCT 207107001, 158418002
English [D]Breath-holding spell (context-dependent category), [D]Breath-holding spell, BHS, BREATH-HOLDING SPELLS, Breath-holding spell, Breath holding spells, Breath-holding (spells), breath holding spell, breath holding spells, holding breath spells, [D]Breath-holding spell (situation), Breath-holding spells
Dutch driftbuien
French Crises de rétention respiratoire
German Episoden des Atemanhaltens
Italian Attacchi di apnea
Portuguese Surtos de retenção da respiração
Spanish Episodios de apnea, [D]espasmo del sollozo (categoría dependiente del contexto), [D]espasmo del sollozo (situación), [D]espasmo del sollozo
Japanese 息どめ発作, イキドメホッサ
Czech Záchvat se zadržením dechu
Hungarian Apnoes időszakok