Peds

Cyanotic Breath Holding Spell

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Cyanotic Breath Holding Spell, Cyanotic Spell

  • See Also
  1. Breath Holding Spell
  2. Pallid Spell
  3. Pediatric Spell
  • Epidemiology
  1. More common Breath Holding Spell than Pallid Spell
  2. Episode onset after age 6 months, resolve by 5 years
  • Triggers
  1. Occurs following a stressor such as scolding
  • 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
  • Evaluation, Diagnosis, and Differential
  1. See Breath Holding Spell
  • Management
  1. See Breath Holding Spell