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| Breath holding spells |
Breath holding spells
Def: these r reflexive events in whch typicaly dere is provoking event that causes Anger, frustration, and chld start 2 cry._crying stops at ful expiration whn chld become cyanotic, apneic and pale.
_in some cases euents continue, chld may lose consciousnes, muscle tone and fal on ground
_seizures seen in 4_5% cases
_they start mostly at 6_18 months of age but may occur at 2 months
_they may b Cyanotic or Pallid depending on d childs colour during events
¤ D/D of BHS
_seizure, cardiac arrhythmiyas, brain stem tumors oi malformations
_hstry of provoking events and color change b4 los of consciousnes helps to distinguish BHS 4m seizures
¤ Management
_for pallid spells evaluate d chld 4 conditions asso. Vth d cardiac arrhxthmiya such as long QT interval
_parental reasurance dat the spels wil nt harm d chld
_Rx. With iron
(elemental 3mg/kg/day)
_
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