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Cardiac pacing in the management of severe pallid breath-holding attacks.

Wilson, Dyanne; Moore, Philip; Finucane, A Kirsten; Skinner, Jonathan R.
J Paediatr Child Health ; 41(4): 228-30, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15813881
Reflex anoxic seizures (pallid breath-holding attacks) can be managed with reassurance in the majority of individuals. In a minority of cases where frequent syncopal and seizure activity occurs, intervention needs to be considered. We report a case of a 19-month infant with a history of severe reflex anoxic seizures who underwent pacemaker insertion with a spectacular result, with complete termination of syncope and seizures, and improvement in quality of life for the patient and family. A literature review of the safety and effectiveness of pacemaker insertion is also presented to support its use as a treatment option for this condition.