Child while playing has sudden loss of
consciousness and appears pale. There
is no significant medical history and the
child was otherwise healthy. Which of
the following is the most probable
diagnosis?
a) Attention deficit hyperkinetic disorder
b) Breath holding spell
c) Autism
d) Rett’s syndrome
Correct Answer - B
Answer- B. Breath holding spell
Pallid form (Pallid spells)
These are initiated by painful experience, e.g falling and striking the
head.
Pallid spells are due to excessive central parasympethetic activity.
Clinical features include pallor, apnea, loss of consciousness,
hypotonia, seizures and bradycarda.
Treatment includes support and reassurance of parents. Atropine
may be used in refractory cases