Peds

Pallid Breath Holding Spell

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Pallid Breath Holding Spell, Pallid Spell

  • Epidemiology
  1. Less common than Cyanotic Breath Holding Spell
  • Trigger
  • Pain
  1. Strike body part on falling
  2. Startled
  • Course
  1. Initial: Stops breathing
  2. Next: Immediate loss of consciousness
  3. Next: Infant becomes limp and pale
  4. Variable: Tonic Seizure, Bradycardia, Asystole >2 sec
  • Evaluation, Diagnosis, and Differential
  1. See Breath Holding Spell
  • Management
  1. See Breath Holding Spell
  2. Atropine has been used in refractory cases