Abstract

The clinical characteristics, types, diagnosis, and management of breath-holding spells are reviewed from The Department of Pediatrics (Neurology), Park Nicollet Medical Center, Minneapolis, MN.

Highlights

  • The clinical characteristics, types, diagnosis, and management of breath-holding spells are reviewed from The Department of Pediatrics (Neurology), Park Nicollet Medical Center, Minneapolis, MN

  • Cyanotic breath-holding spells result from a complex interplay of hyperventilation followed by apnea in expiration, and increased intrathoracic pressure

  • DIABETES INSIPIDUS WITH HYPOXIC ENCEPHALOPATHY Neurogenic diabetes insipidus (DI) due to hypoxic encephalopathy is reported in 6 cases and 28 pediatric cases in the literature are reviewed from the Mackay Memorial Hospital, Taipei, Taiwan, ROC

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Summary

Introduction

The clinical characteristics, types, diagnosis, and management of breath-holding spells are reviewed from The Department of Pediatrics (Neurology), Park Nicollet Medical Center, Minneapolis, MN. Pallid breath-holding spells (BHS) result from vagal hyperresponsiveness, following a sudden, unexpected, unpleasant stimulus, usually a mild head injury. Cardiac monitoring reveals prolonged asystoles, which can be induced by ocular compression, and is accompanied by syncope or an anoxic seizure. Cyanotic breath-holding spells result from a complex interplay of hyperventilation followed by apnea in expiration, and increased intrathoracic pressure.

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Conclusion

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