Libreta de salud infantil familiar digital

 We can frequently see children who, while crying because of frustration, anger, fear or pain, undergo episodes of momentary detention of breath, change of skin colour (to bluish or paleness), loss of consciousness and even convulsions in some cases.


 This type of attack can show itself completely, according to the above mentioned, or not completely, without loss of consciousness or a convulsion, which is more frequent.


 There are two types of spasm of the weep:

 Spam of the palid weep

  1. During childhood or early adolescence   
  2. Less frequent than the cyanotic one 
    It appears after a surprising situation,  fear or light traumatism. makes the child cry (that’s why it is more  frequent).
  3. The child hardly cries but undergoes loss  bluish.  There can be loss of consciousness and muscle tone (sometimes having hypertony  and convulsions and spasm of the limbs).
  4. May coexist with the cyanotic spasm  in the same child.
  5. Starts towards the 6th month of life (some  children have it only 1 month after birth)
  6. Tends to disappear when the child is  about 3 years old.
  7. Shows itself in children having light traumatism in the occipital region.
Spam of the cyanotic weep
  1. Idem

  2. More

  3. Caused by frustration or anger which

  4. May coexist with the pale spasm in the the same child.

  5. Idem

  6. Idem

  7. Origin different from that of the pale   spasm but having a similar forecast. 

According to statistics approximately 5% of the children undergo this kind of episode but the amount is considered to be bigger

There are cases of children experiencing these episodes until they are over 5 or 6 years of age but this is not frequent.

 There is often a family background regarding spasm of the weep but it should be pointed out that the psychological and emotional basis of the children and the family conditions the presence of the spasms.

 Pediatricians must keep the family of a child having this problem under control in order to put away wrong fantasies of death, overprotection and too much anxiety when facing these situations.

 The treatment basically consists in educating the parents to handle these situations; they must know it is a pathology with spontaneous disappearance and with no consequences of future neurological problems.

 There is no specific medication for this pathology (only in VERY specific cases in which the specialist shall indicate it).

 Psychological therapy is used to clarify causes within the family if the episodes of Spasm of the Weep persist.

 Children suffering frm these spasms have emotional and behaviour problems.  Therefore we recommend a good conversation with the pediatrician and eventually consulting a psychologist if necessary.

 We hope we have been of help.

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