II. Epidemiology

  1. More common Breath Holding Spell than Pallid Spell
  2. Episode onset after age 6 months, resolve by 5 years

III. Triggers

  1. Occurs following a stressor such as scolding

IV. 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

V. Evaluation, Diagnosis, and Differential

VI. Management

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