Neurology Book

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Cyanotic Breath Holding Spell

Aka: Cyanotic Breath Holding Spell, Cyanotic Spell
  1. See Also
    1. Breath Holding Spell
    2. Pallid Spell
    3. Pediatric Spell
  2. Epidemiology
    1. More common Breath Holding Spell than Pallid Spell
    2. Episode onset after age 6 months, resolve by 5 years
  3. Triggers
    1. Occurs following a stressor such as scolding
  4. Course
    1. Initial: Brief, shrill cry
    2. Next: Forced expiration and apnea ensues
    3. Next: Cyanosis and loss of consciousness
    4. Variable: Clonic movements may occur
  5. Evaluation, Diagnosis, and Differential
    1. See Breath Holding Spell
  6. Management
    1. See Breath Holding Spell

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