Objective: Breath holding spells is a common case in children aged 5months to 6
years, and often misinterpreted with epileptic seizures.we did clinical and epidemiological
assessment for BHS.We documented the relation between sex, age, familial his
tory and the
episodes nature blue, pale or mixed.
Materials & Methods: This was a cross-sectional study in which a total of 50
children
with BHS, admitted to the out patient neuropediatric clinic 2013-2014. We took full
medical history and did the investigations to eliminate the differential diagnosis.
Results:Most patient were 7-24 month, we noticed parental consanguinity 87% and
familial history in 56%.The spells were cyanotic 70%. Anger and pain were the more
frequent risk factors 64%,60%.Anemia found in 58% of patient.Half of the patient have
socioeconomic problems.And most of them from nuclear family 66%.
Conclusion:The study mentioned the types of spells and the risk factors and the
importance of look for anemia.
We present here a simplified method to perform Bidirectional
Glenn’s Cavo-Pulmonary Shunt (BDG) in which we use no
cardiopulmonary bypass (CPB) nor an intra-operative temporary shunt,
sometimes used on the belief that it lessens the developed intr
a-venous
congestion and pressure in the upper torso, intra-operatively. Our approach
springs from the idea that acute intra-venous congestion, resulting from the
application of vascular cross-clamp on the superior vena cava (SVC) during
operation, is being vented through abundant and numerous anatomic
venous anastomoses between the SVC system and the inferior vena cava
(IVC) system. It also springs from the conception that the brain of patients
with low arterial blood O2-saturation tolerates cerebral hypoxia better than
the normally functioning brain. Such hypoxia may ensue from the transient
low cerebral arterial blood flow, resulting in turn from the temporary intravenous
cerebral congestion (and related raised pressure) following SVC
clamping.
