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Breath-Holding Spell
The Experts below are selected from a list of 39 Experts worldwide ranked by ideXlab platform
Z Tabasi – 1st expert on this subject based on the ideXlab platform
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EFFECTS OF ORAL IRON SUPPLEMENT ON Breath-Holding SpellS IN CHILDREN
Iranian journal of child neurology, 2020Co-Authors: Seyed Hassan Tonekaboni, S Alavi, F Mahvelati Shamsabadi, Z TabasiAbstract:Objectives: Breath holding Spells are one of the most frequent and important diagnostic challenges in pediatrics. The aim of this study, conducted on pediatric patients referring to the pediatric neurology clinic in Hormozgan province, was to evaluate therapeutic effects of iron on breath holding Spells Materials and Methods: 35 children (19 males and 16 females), aged between 3 to 60 months, with a history of Breath-Holding Spells, were included in the trial. To obtain all relevant data a specifically designed questionnaire requiring information on sex, age, age of onset of Spells, type of Spells, frequency of attacks before and after treatment with oral iron supplement, and determinants of body iron stores was completed for all the patients, based on the mother’s statements. The patients were treated by an oral iron preparation for three months. Results: The age of onset of Spells ranged between 6 to 24 months. The cyanotic type of Spell was detected in 31 children, the pallid type in 3, and the mixed type in one child. There were 14 children with iron deficiency anemia and 20 children with reduced iron stores. Just one child had a normal iron profile. Complete therapeutic response was documented in 24 children, good response in 9, and poor response in one and in one child no change in frequency of Spells was seen. Conclusion: Although no significant therapeutic difference was seen in the different response groups, it seems that iron supplement may play an important role in reducing breath holding Spells in children. Keywords: Iron, Breath holding Spell, children, Iron deficiency Anemia
Özge Berfu Gürbüz – 2nd expert on this subject based on the ideXlab platform
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Iron supplementation should be given in Breath-Holding Spells regardless of anemia
Turkish Journal of Medical Sciences, 2019Co-Authors: Gürkan Gürbüz, Peren Perk Yücel, Turgay Çokyaman, Özge Berfu GürbüzAbstract:The purpose of this retrospective study was to determine the effectiveness of oral iron therapy in Breath-Holding Spells and evaluation of electrocardiographical changes.Materials and methods: Three hundred twelve children aged 1-48 months and diagnosed with Breath-Holding Spells between January 2017 and April 2018 were included. Patients’ laboratory findings were compared with 100 patients who had one simple febrile seizure.Results: Cyanotic Breath-Holding Spells were diagnosed in 85.3% (n = 266) of patients, pallid Spells in 5.1% (n = 16), and mixed-type Spells in 9.6% (n = 30). Sleep electroencephalograms were applied for all patients, 98.2% (n = 306) of which were normal, while slow background rhythm was determined in 1.2% (n = 4). Epileptic activity was observed in only 2 patients (0.6%). The mean hemoglobin (Hb) value in the Breath-Holding Spell group was 10.1 mg/dL. Patients’ mean corpuscular volume (MCV) was 73 fL. Patients’ Hb and MCV values were statistically significantly lower than those of the control group (P < 0.001). The difference between Spell burden was not statistically significant (P = 0.691). Spell burden decreased equally in both groups.Conclusion: Oral iron therapy can be administered in Breath-Holding seizures irrespective of whether or not the patient is anemic.
Seyed Hassan Tonekaboni – 3rd expert on this subject based on the ideXlab platform
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EFFECTS OF ORAL IRON SUPPLEMENT ON Breath-Holding SpellS IN CHILDREN
Iranian journal of child neurology, 2020Co-Authors: Seyed Hassan Tonekaboni, S Alavi, F Mahvelati Shamsabadi, Z TabasiAbstract:Objectives: Breath holding Spells are one of the most frequent and important diagnostic challenges in pediatrics. The aim of this study, conducted on pediatric patients referring to the pediatric neurology clinic in Hormozgan province, was to evaluate therapeutic effects of iron on breath holding Spells Materials and Methods: 35 children (19 males and 16 females), aged between 3 to 60 months, with a history of Breath-Holding Spells, were included in the trial. To obtain all relevant data a specifically designed questionnaire requiring information on sex, age, age of onset of Spells, type of Spells, frequency of attacks before and after treatment with oral iron supplement, and determinants of body iron stores was completed for all the patients, based on the mother’s statements. The patients were treated by an oral iron preparation for three months. Results: The age of onset of Spells ranged between 6 to 24 months. The cyanotic type of Spell was detected in 31 children, the pallid type in 3, and the mixed type in one child. There were 14 children with iron deficiency anemia and 20 children with reduced iron stores. Just one child had a normal iron profile. Complete therapeutic response was documented in 24 children, good response in 9, and poor response in one and in one child no change in frequency of Spells was seen. Conclusion: Although no significant therapeutic difference was seen in the different response groups, it seems that iron supplement may play an important role in reducing breath holding Spells in children. Keywords: Iron, Breath holding Spell, children, Iron deficiency Anemia