What is Attendance Seizure in Babies? Symptoms and Causes

A seizure in infants is a condition that occurs in response to a loud noise, sometimes as a result of quickly taking the toy from the baby's hand, and is seen in the form of breath-holding, bruising and fainting.

What is Participation Seizure in Babies?

What is Attendance Seizure? This question is on the minds of many families. Participation seizure in infants is a condition that occurs as a reaction to a loud noise, sometimes as a result of quickly taking the toy from the baby's hand, and is seen in the form of breath-holding, bruising and fainting. Parents are always terrified when a child is out of breath while crying. This condition, which is usually seen between the ages of 6 months and 2 years, is actually harmless. Breathlessness when the child cries can sometimes result in paleness. Seizure of participation has been known since the time of Hippocrates. Although it can be seen in both sexes, it is slightly more common in men. It is more likely to occur if there is a family history of seizures. Addiction seizures can sometimes continue until the age of 4-6 years. It has also been reported rarely in newborns.

What are the Symptoms of Participation Seizure in Babies?

The baby's breathlessness when crying usually occurs as follows:

• The baby cries first and then stops breathing.
• His mouth is open as if to cry, but no sound is made.
• The baby's skin color turns blue or gray.
• The baby may release himself and become limp during this time. On the contrary, his body may contract and convulsions may occur.
• It may be followed by a fainting for 1-2 minutes.
• After the participation seizure, the baby may be confused and sleepy for a while.
• Agreeing The seizure lasts 1-2 minutes. After this period, the baby comes to his senses.
• Participation seizures are not epileptic seizures.
• Attachment seizures are completely harmless. They do not cause long-term damage to babies.
• It should be known that babies do not do this intentionally and cannot control themselves.
• The seizure fit may repeat several times during the day.

What are the Causes of Participation Seizures in Babies?

What are the causes of participation seizures in babies? It is not known for certain what causes the seizure fit. Autonomic nervous system dysregulation is thought to be a cause. Breath-holding spells with bruising occur in situations of anger and frustration. When the baby is suddenly afraid, feels painful pain, experiences a traumatic event, and experiences disappointment (such as being taken away from his toy harshly), the seizure fit may begin. The seizure fit is more common in the following situations:

• Anemia due to iron deficiency
• Having a family history of dyspnea
• Having genetic conditions such as Riley-Day syndrome, Rett syndrome

The relationship between iron deficiency and dysphoria has been known for a long time. In cases where iron deficiency anemia is corrected, seizures completely improve or alleviate. Iron has an important role in the functioning of the central nervous system. Therefore, its deficiency may cause irregularities in the functioning of the nervous system. Children with iron deficiency anemia have been shown to be more irritable and irritable. In this case, seizures occur more frequently. In addition, children with iron deficiency anemia have a low oxygen carrying capacity. This situation increases the severity of the seizure fit. It has been shown that 7.5-69% of children with participation seizures have iron deficiency anemia. Long QT is a rhythm disorder seen in the heart. More work is needed to confirm this claim. Many physicians recommend ECG recording in infants with participation seizures. Some researchers think that there is impaired parent-child relationship in engagement seizures. These families have been observed to be overprotective. Such parents generally experience stress and anxiety in connecting and understanding their children. It was observed that they were disappointed more quickly. In addition, distraction was more common in this group of children. It is very important to take a detailed history in a baby who presents to the doctor with a seizure fit. The most important point is that the beginning of the event is related to fear, anger and pain. The triggering factor is severe crying, shortness of breath. It is followed by itching, bruising, looseness or stiffness in the body, followed by loss of consciousness and improvement. Learning the order of occurrence of the event is diagnostic for physicians. Then the physicians make a careful examination to see if there is any other problem in the child. The signs of anemia are checked and the heart is carefully examined. Distinguishing the epileptic seizure from the epileptic seizure prevents unnecessary use of epilepsy drugs. While seizures usually begin between 6-18 months of age, epileptic seizures can begin at any age. Addiction seizures never occur during sleep, but epileptic seizures can occur during sleep. While crying is present in the seizures at the beginning, it does not start with crying in epilepsy. Breath-holding may be less than one minute in a seizure fit, while it may last longer than one in epilepsy. While tongue biting and urinary incontinence are observed in epilepsy, this is not seen in epileptic seizures. The pulse decreases in seizures and increases in epilepsy. It may be beneficial to consult a physician by recording the seizures by video recording. In general, the conditions that should be differentiated from the seizure seizures are as follows:

• Epilepsy
• Breath holding during sleep (may be in sleep apnea, gastroesophageal reflux and frontal lobe epilepsy) )
• Sepsis (blood microbe mixing, widespread infection): In this case, respiratory arrests called apnea may occur. However, it is not associated with crying.
• Stiff baby syndrome
• Congenital laryngeal stridor (hard and loud wheezing due to the incomplete development of the larynx muscles.)
• Laryngospasm (larynx Sudden contraction of the muscle may result in shortness of breath.)
• Pertussis

In infants with seizures, if the physician deems it necessary, complete blood count, ferritin and ECG may be requested to exclude heart diseases. Studies on the reasons for the seizures are ongoing.

Complications

Participation seizures scare and worry families a lot and can impair their quality of life. However, it does not pose a long-term risk to the child. Anxiety, depression and psychosocial problems can be seen in mothers of children with frequent and severe episodes of participation. Children with participation seizure have normal neurological findings and intelligence level.

Participation seizure in infants How is the meat treatment?

The main principle is to explain to the family that this situation is innocent and temporary. Families should not act hastily for bowel and bladder training, should not force the baby to eat food and should not enter into conflict with the baby. It is necessary to be tolerant and consistent while educating the baby. Iron supplementation is beneficial if there is iron deficiency anemia in infants with a fit. Iron therapy reduces the frequency and duration of seizures. If an underlying heart disease is detected, it will be treated appropriately.

What to Do in Case of Breathlessness While Babies Cry?

What should be done during a seizure fit? The answer to this question is often asked by families:

• Stay calm, don't shout, the attack will pass in a minute.
• Lay the child on his side.
• Stay with him until the attack passes.
• Prevent them from hitting their head, arms and legs.
• Reassure your baby with a calm voice and let him rest after the fit. Do not make any movements.
• Do not shake or pour water on your baby during a fit.
• Do not try to put your fingers in the baby's mouth.
• Do not try to give CPR to your baby who is bruised. The participation seizure will resolve spontaneously in 1-2 minutes.
• Do not get angry and shout at the child because he/she does not do this consciously.

Participation seizure is a condition that can be seen in various children. To get more detailed information about this situation, you can apply to health institutions and get support from specialist physicians.

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