Docosahexaenoic Acid Plus Piracetam Versus Piracetam Alone for Treatment of Breath-HoldingSpells in Children: A Randomized Clinical Trial. Piracetam is the most widely used drug in breath-holdingspells (BHS); however, its efficacy might not be satisfying to parents. This study aimed to compare the efficacy of docosahexaenoic acid (DHA) plus piracetam with piracetam alone in reducing
Evaluation of the Effectiveness of Risperidone in Treating Breath-HoldingSpells in Children. Breathholdingspells (BHS) are a type of syncope in children that is commonly seen in the first years of life. Although these attacks do not cause serious damage to the child's brain, in severe or repeated cases, they expose the brain to hypoxia and cause a lot of stress in parents. In these cases , the clinician should consider therapy. The purpose of this study is to investigate the effectiveness of Risperidone in the treatment of BHS in children visiting the neurology clinic of the Children's Medical Center Hospital. In this randomized clinical trial, the statistical population included patients with the history of BreathHoldingspells grades 2 to 3 (after ruling out of seizure disorders) over one
A case of Bainbridge-Ropers syndrome with breathholdingspells and intractable epilepsy: challenges in diagnosis and management. Bainbridge-Ropers syndrome is caused by monoallelic ASXL3 variants on chromosome 18. Clinical features include dysmorphic facies, developmental delay, intellectual disability, autistic traits, hypotonia, failure to thrive, seizures and hyperventilation. Breath-holding posturing with right leg extension and head turning without ictal EEG correlate. The breath-holdingspells have been refractory to several medication trials including iron supplementation, acetazolamide, and desipramine. This case represents a more severe phenotype of Bainbridge-Ropers Syndrome than previously described with refractory breath-holdingspells with dystonia, intractable epilepsy
The Comparison of Levetiracetam and Piracetam Effectiveness on Breath-HoldingSpells in Children: A Randomized Controlled Clinical Trial. We aimed to compare the effectiveness of Levetiracetam and Piracetam on the severity and frequency of spells in children with severe breath-holdingspells (BHS), i.e. bening, paroxysmal, and nonepileptic events that are common in early childhood. This study
Evaluation of the Efficacy of LevetiracetamPlus Iron in Comparison With Iron Alone in Controlling and Reducing the Frequency of Breath-HoldingSpells in Children Aged 6 Months to 5 Years. A breath-holdingspell (BHS) is defined as an apnea attack following an initial stressful event like anger, sadness, and fear, a painful event like falling or head trauma or any stressful psychology event
Brain metabolite values in children with breath-holdingspellsBreath-holdingspells are benign, paroxysmal events with apnea and postural tone changes after a crying episode in infants. The objective of this study was to investigate the pathologies in brain metabolite values in the absence of seizure in children with breath-holdingspells by using magnetic resonance spectroscopy (MRS). Brain MRS examination was performed on 18 children with breath-holdingspells and 13 neurologically normal children who were included as the control group. There was no significant difference in terms of -acetyl aspartate (NAA), choline (Cho), creatine (Cr), and myoinositol (mI) levels and also in terms of NAA/Cr, Cho/Cr, and mI/Cr ratios between the patients and the control group (all >0.05). Our study
Breath-holdingSpells and Its Management Study The goal of this prospective population-based study is to evaluate the new disease description and management guidelines for breath-holdingspells in children (Hellström Schmidt et al, Acta Paediatrica 2024) below the age of 5 years in southern Sweden. The main questions it aims to answer are: * Does the disease description and management guidelines lead to the expected reduction in diagnostic interventions and are the clinical managements guidelines safe to use?* If iron supplementation is given, does it reduce the frequency and severity of the spells?* What information and support does parents to children with breath-holdingspells need? Participants will undergo evaluation by a medical doctor and if typical breath-holdingspells are diagnosed
Efficacy of a Brief Psychoeducational Intervention for Mothers of Children with Breath-HoldingSpells: A Randomized Controlled Pilot Trial. Objective Mothers of individuals with breath-holdingspells (BHS) suffer more often from anxiety and experience more stressors in their everyday life. The purpose of this study was to examine the efficacy of psychoeducational intervention in reducing BHS
Clinico-laboratory profile of breath-holdingspells in children in Sohag University Hospital, Upper Egypt Breath-holdingspells (BHSs) are involuntary pauses of breathing, sometimes accompanied by loss of consciousness. They usually occur in response to an upsetting or surprising situation. Breath-holdingspells are usually caused by either a change in the usual breathing pattern or a slowing
Breath-holdingspells in infants I have children in my clinic who experience seizurelike episodes in which they cry and hold their breath to the point of cyanosis and loss of consciousness. Their examination or investigation findings are normal and referral to a pediatric specialist results in no further investigation. Are breath-holdingspells common, and what type of investigation is needed ? A breath-holdingspell is a benign paroxysmal nonepileptic disorder occurring in healthy children 6 to 48 months of age. The episodes start with a provocation such as emotional upset or minor injury, and might progress to breath holding, cyanosis, and syncope. The episodes are extremely frightening to watch but have benign consequences. Once a clinical diagnosis is made, it is recommended to conduct
Novel Findings in Breath-HoldingSpells: A Cross-Sectional Study. The mechanism of breath-holdingspells (BHS) is not fully understood and most probably multifactorial; so, this study was designed to clarify the pathophysiology of BHS through assessing some laboratory parameters and electrocardiographic (ECG) changes which might be contributing to the occurrence of the attacks. Another aim
The value of neurologic and cardiologic assessment in breathholdingspells Objective : To evaluate the value of neurologic and cardiologic assessment and also the frequency of iron deficiency anemia in children with BreathHoldingSpells (BHS). Methods : The hospital charts of patients diagnosed with BHS between 2011 and 2013 were reviewed retrospectively. Results : A total of 165 children (90
Breath of the Wild! A podcast on breathholdingspells Breath of the Wild! A podcast on breathholdingspells – PEMBlogSkip to contentTwitterFacebookInstagramRssVimeoYouTubeDropboxEmailSearch for: * Videos * Podcasts * About Me * Search for: * Videos * Podcasts * About Me * * View Larger ImageBreath of the Wild! A podcast on breath holding spellsBy Brad Sobolewski, MD, MEd|2017-03-21T13:40:13-04 :00March 22nd, 2017|Cardiology, Neurology, Podcasts|Don’t hold you breath while listening to this podcast – because you’d be doing so for longer than 20 seconds – and you will have apnea. Do however, listen to learn more about cyanotic and pallid breathholdingspells so that you can be prepared to diagnose and manage them in the Emergency Department.You can listen to the podcast right here:http
Efficacy of piracetam for prevention and treatment of breathholdingspells a systematic review and meta analysis Efficacy of piracetam for prevention and treatment of breathholdingspells a systematic review and meta analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review
Piracetam for prevention of breathholdingspells in children: A Systematic Review Piracetam for prevention of breathholdingspells in children: A Systematic Review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information