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Breath Holding Spell
Aka: Breath Holding Spell, Breath-Holding Spell
- Characteristics
- Transient episodes of breath holding
- Associated with child becoming limp and unresponsive
- Seizure-type activity may occur
- Type
- Cyanotic Breath Holding Spell (most common)
- Pallid Breath Holding Spell
- Diagnostics
- Electroencephalogram (EEG) normal
- Differential Diagnosis
- See Pediatric Spells
- Evaluation
- Thorough history and examination
- Rule-out other Pediatric Spell
- Consider checking for Iron Deficiency Anemia
- Kolkiran (2005) Acta Paediatr 94:1227-31 [PubMed]
- Management
- No intervention is necessary
- In fact, interventions may reinforce behavior
- Position child in safe place (e.g. bed)
- Do not hold or play until completely recovers