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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]
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.
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]
By contrast, infants normally cry an average of just over two hours a day, with the duration peaking at six weeks. [9] With colic, periods of crying most commonly happen in the evening and for no obvious reason. [1] Associated symptoms may include legs pulled up to the stomach, a flushed face, clenched hands, and a wrinkled brow. [9]
They remain distressed and inconsolable despite all parental efforts. Paradoxically, parental efforts can rather increase agitation of the child. The onset of symptoms is usually within 2 and 3 hours of sleep onset (at the time of transition from slow-wave sleep to a lighter sleep stage) and those events can last from 10 to 30 minutes. Patients ...
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
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The most common stimulus is a painful event. The child turns pale (as opposed to blue) and loses consciousness with little if any crying. The EEG is also normal, and there is no postictal phase, nor incontinence. The child is usually alert within minutes. There may be a relationship with adulthood syncope. [4] Complicated breath-holding spells