Rare manifestation of a craniovertebral junction anomaly: is blue breath holding always benign?

Abstract:

:Breath-holding or reflex anoxic seizures predominantly occur in preschool children and usually resolve by late childhood, rarely persisting through adolescence and into adulthood. Investigations are generally unnecessary. Education and reassurance is the mainstay of management. In this report, the author describes a case in which an infant presented with breath-holding spells due to a significant craniovertebral anomaly, and underwent a C1-C2 posterior stabilization. Following the stabilization of his dislocation the breath-holding spells never reappeared. Authors have previously described a rare manifestation of craniovertebral junction anomaly. Additionally, it is important to recognize that in a subset of patients breath-holding spells may be hazardous and not benign.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Udayakumaran S

doi

10.1159/000365763

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

297-9

issue

5

eissn

1016-2291

issn

1423-0305

pii

000365763

journal_volume

49

pub_type

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