A 1 year old boy presents to the emergency department following an episode in which the child became blue and collasped. Prior to the episode the child was crying which suddenly stopped. The child returned to normal within one minute. There were no jerking movements associated with this event. This child is growing and developing normally. The family history is unremarkable. Physical examination is within normal limits.
This child had a breath-holding spell. There was no evidence of seizure activity. The event was precipitated by inconsolable crying in a child who was in the typical age range for breath holding spells. The child returned to normal quickly with no post ictal phase.
Kliegman RM, Behrman RE, Jenson HB, Stanton BMD (2007). Nelson’s Textbook of Pediatrics. 18th edition. Philadelphia, PA: Elsevier Saunders.
https://www.aboutkidshealth.ca/Article?contentid=780&language=English
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NOSM
Memorial University of Newfoundland