Neurology Book

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Pallid Breath Holding Spell

Aka: Pallid Breath Holding Spell, Pallid Spell
  1. Epidemiology
    1. Less common than Cyanotic Breath Holding Spell
  2. Trigger: Pain
    1. Strike body part on falling
    2. Startled
  3. Course
    1. Initial: Stops breathing
    2. Next: Immediate loss of consciousness
    3. Next: Infant becomes limp and pale
    4. Variable: Tonic Seizure, Bradycardia, Asystole >2 sec
  4. Evaluation, Diagnosis, and Differential
    1. See Breath Holding Spell
  5. Management
    1. See Breath Holding Spell
    2. Atropine has been used in refractory cases

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