Cardiac pacing in the management of severe pallid breath-holding attacks Academic Article uri icon

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  • 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.


  • Wilson, Denise
  • Moore, Philip
  • Finucane, A Kirsten
  • Skinner, Jonathan R

publication date

  • April 2005