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The term pseudobulbar (pseudo-+ bulbar) came from the idea that the symptoms seemed similar to those caused by a bulbar lesion (that is, a lesion in the medulla oblongata). Terms such as forced crying, involuntary crying, pathological emotionality, and emotional incontinence have also been used, although less frequently. [4]
This type of cry is characterized by the same temporal sequence as the basic pattern but distinguished by differences in the length of the various phase components. The third cry is the pain cry, which, unlike the other two, has no preliminary moaning. The pain cry is one loud cry, followed by a period of breath holding. [12]
Inconsolable, agitated Inconsistently inconsolable, moaning Cries but consolable, inappropriate interactions Smiles, orients to sounds, follows objects, interacts N/A: Motor No motor response Extension to pain (decerebrate response) Abnormal flexion to pain for an infant (decorticate response) Infant withdraws from pain Infant withdraws from touch
Babies who cry may simply be hungry, uncomfortable, or ill. [16] Less than 10% of babies who would meet the definition of colic based on the amount they cry have an identifiable underlying disease. [17] Cause for concern include: an elevated temperature, a history of breathing problems or a child who is not appropriately gaining weight. [9]
In children, confusional arousals can often be reproduced artificially by awakening the child during deep sleep. [3] However, it doesn't have any clinical significance without deeper investigation. Children living an episode of confusional arousal typically sit up in bed, whimper, cry, moan, and may utter words like “no” or “go away”.
A minor bump to the head is the most commonly reported precipitant. Usually the toddler trips and falls; the child's caregiver may hear the bump. Most commonly, the child does not cry, although some parents give descriptions of the child "trying to cry" (Stephenson 1978), or there may be a gasp or a sob. Syncope rapidly ensues.
A baby born at full-term may commonly exhibit symptoms such as mottling (net-like bluish-red skin due to swollen blood vessels), [6] irritability, trembling, excessive or high-pitched crying, sleeping problems, increased muscle tone, overactive reflexes, seizures, yawning, stuffy nose, sneezing, poor feeding, rapid breathing, slow weight gain ...
Because children and adults with the disorder cannot feel pain, they may not respond to problems, thus being at a higher risk of more severe diseases. Children with this condition often sustain oral cavity damage both in and around the oral cavity (such as having bitten off the tip of their tongue) or fractures to bones. [2]