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The diagnosis of a breath-holding spell is made clinically. A good history including the sequence of events, lack of incontinence and no postictal phase, help to make an accurate diagnosis. Some families are advised to make a video recording of the events to aid diagnosis. An electrocardiogram (ECG) may rule out cardiac arrhythmia as a cause. [1]
A seizure is a sudden change in behavior, movement or consciousness due to abnormal electrical activity in the brain. [3] [6] Seizures can look different in different people.. It can be uncontrolled shaking of the whole body (tonic-clonic seizures) or a person spacing out for a few seconds (absence seizure
Reflex anoxic seizures are a particular type of anoxic seizure, most commonly seen in young children in whom an anoxic seizure or syncope is provoked or precipitated by a noxious stimulus (hence "reflex"). Various precipitants have been identified, but the most common is an unexpected bump to the head.
Syncope ((syncope ⓘ), commonly known as fainting or passing out, is a loss of consciousness and muscle strength characterized by a fast onset, short duration, and spontaneous recovery. [1] It is caused by a decrease in blood flow to the brain , typically from low blood pressure . [ 1 ]
In one study, the majority of children referred to a secondary clinic with "fits, faints and funny turns" did not have epilepsy, with syncope (fainting) as the most common alternative. [5] In another study, 39% of children referred to a tertiary epilepsy centre did not have epilepsy, with staring episodes in intellectually disabled children as ...
The epileptic seizure in the vast majority of pediatric epilepsy patients is ephemeral, and symptoms typically subside on their own after the seizure comes to an end, but some children experience what is known as a “seizure cluster," in which the first seizure is followed by a second episode approximately six hours later.
Benign Rolandic epilepsy or self-limited epilepsy with centrotemporal spikes (formerly benign childhood epilepsy with centrotemporal spikes (BECTS)) is the most common epilepsy syndrome in childhood. [ 1 ] [ 2 ] Most children will outgrow the syndrome (it starts around the age of 3–13 with a peak around 8–9 years and stops around age 14 ...
Epileptic auras are subjective sensory or psychic phenomena due to a focal seizure, i.e. a seizure that originates from that area of the brain responsible for the function which then expresses itself with the symptoms of the aura. It is important because it makes it clear where the alteration causing the seizure is located.