CLINICAL AND EPIDEMIOLOGICAL PROFILE OF BREATH HOLDING SPELLS (BHS)- AN ANALYSIS OF 115 CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 4
Abstract
BACKGROUND Breath holding spells are common in non-epileptic, repetitive, paroxysmal events in young infants and children often considered as seizure mimics/ confused with seizure disorder can be a frightening experience for parents and demands a good history of the sequence of events, because the diagnosis is made clinically. Aims and Objectives- To study the disease spectrum of Breath holding spells in infants and children in terms of clinical and epidemiological profile (i.e. age, sex, family history, parental consanguinity, triggering factors, associated comorbidities such as anaemia etc.). MATERIALS AND METHODS This case series study was conducted in our Child health clinics. A total of 125 children below 6 years with Breath holding spells were enrolled between May 2012 and April 2017, out of which 10 children were excluded from the study due to various causes. Remaining 115 children diagnosed as Breath holding spells by typical history, clinical examination and after ruling out other causes which mimic Breath holding spells are included in the study. RESULTS In the present study, a total of 115 children aged between 6 months and below 6 years were diagnosed as having Breath holding spells. In 73 (63.41%) cases Breath holding spells began during the first 24 months of age. Most common triggering factor being anger (45.2%) and pain (41.7%). A positive family history was found in 27% and parental consanguinity was found in 30.43% of cases. The spells were cyanotic in 62.6% and 76.52% were anaemic. CONCLUSION The result of this study suggests a new data regarding the natural history of Breath holding spells and is important for identifying interventional strategies and parental counselling and could serve as baseline data for future approaches on this paediatric clinical entity.
Authors and Affiliations
Bhavanishankar R, Ramu P, Nuka Chaitanya
SPECTRUM OF PERFORATION PERITONITIS AT A TERTIARY CARE CENTRE IN PUNJAB
BACKGROUND Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world. It requires an urgent surgical intervention and is a significant cause of morbidity and mortality....
INEQUALITY ASSESSMENT OF ORAL HEALTH WORKFORCE’S DISTRIBUTION IN IRAN’S NATIONAL ORAL HEALTH PROMOTION PROGRAM
BACKGROUND Oral health is a major factor in public health. Children aged 6-12 years are the most important target group for oral and dental hygiene programs due to the high prevalence of dental caries, development of per...
CHRONIC CALCULUS CHOLECYSTITIS IN THE PEOPLE OF BARAK VALLEY IN RELATION TO SEX, AGE AND NUMBER OF GALL BLADDER STONES- AN OBSERVATIONAL STUDY
BACKGROUND Gallstone disease is responsible for morbidities and mortality all across the globe. Cholecystitis means inflammation of the gall bladder. It is one of the most common conditions, which is encountered by a sur...
IMPACT OF ALTERED EXPRESSION OF MATRIX METALLOPROTEINASES (MMPs) ON THE DEVELOPMENT AND SEVERITY OF DIABETIC RETINOPATHY
The primary cause of visual loss in the country like India are cataract, glaucoma, malnutrition, age related macular degeneration and diabetic retinopathy (DR)1.DR is the most common microvascular complication...
RATIONAL CHOICE OF ANTIBIOTICS FOR WOUND INFECTION: A GUIDE FOR THE CLINICIANS
BACKGROUND Wound infections are one of the most common Health Care Associated Infections (HAIs) and are an important cause of morbidity and mortality that leads to prolonged hospital stay and increased cost of h...