Related Experiment Videos
Breath-holding spells in somatoform disorder
Takuji Inagaki1, Soichi Mizuno, Tsuyoshi Miyaoka
1Shimane University, Japan. inagaki@med.shimane-u.ac.jp
International Journal of Psychiatry in Medicine
|September 25, 2004
Summary
Breath-holding spells (BHS), typically seen in children, can also occur in young adults. These spells involve cyanosis and psychological distress, challenging the notion that BHS are exclusive to childhood.
Area of Science:
- Neurology
- Pediatrics
- Psychology
Background:
- Breath-holding spells (BHS) are a common pediatric condition.
- Historically, BHS have not been reported in adolescents or young adults.
Observation:
- Two cases of BHS in young adults are presented.
- Spells lasted 1-2 minutes, characterized by cyanosis and marked decrease in oxygen saturation.
- Patients exhibited psychological distress and regression.
Findings:
- BHS in young adults can be triggered by hyperventilation.
- A proposed mechanism involves hyperventilation followed by expiratory apnea, increasing intrathoracic pressure and causing respiratory spasm.
- Cyanotic BHS can manifest beyond childhood.
Implications:
- This study expands the known age range for BHS occurrence.
- It highlights the potential for both physical and psychological factors in adult BHS.
- Clinicians should consider BHS in young adults presenting with similar symptoms.