Breath Holding Spells
Breath Holding Spells, are brief periods when young children stop breathing for up to 1 minute. These spells often cause a child to pass out (lose consciousness). Breath-holding,
spells usually occur when a young child is angry, frustrated, in pain, or afraid.
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Are breath-holding spells normal?!How do you stop holding a breath spell?!How common is breath-holding spells?!
The diagnosis of this spell is made clinically. A good history including the sequence of events, lack of
incontinence and no postictal phase, help to make an accurate diagnosis. Some families are advised to make a video
recording of the events to aid diagnosis. An electrocardiogram (ECG) may rule out cardiac arrhythmia as a cause. There
is some evidence that children with anemia (especially iron deficiency) may be more prone to breath-holding spells.
There are four types of the spell .Simple This is the most common type and the cause
is the holding of breath. The usual precipitating event is frustration or injury. There is no major alteration of circulation
or oxygenation and the recovery is spontaneous. Cyanotic breath-holding spells These are usually precipitated by
anger .
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