Emotional charge crises are one of the most common non-epileptic phenomena occurring in early childhood.
These seizures usually occur at the age of 6 months and usually stop at the age of 5 years, but are more common at ages between 1-2 years where the age of the child is at the same time as the child and his or her parents. About 25% have a family history of similar phenomena.
Intense emotional stress causes the child to lose his / her breath and / or unconsciousness and may develop seizures that resemble epileptic seizures.
Blue spells make up about 60%.
White spells make up about 20%.
Around 20% of children develop both types.
A typical episode usually starts with severe anger, pain or fear that results in the child crying or crying and then losing his / her breath and / or fainting. The child may have tonic-clonic seizures at all four extremities that are very similar to seizures.
An episode can also occur because the child did something and is ashamed, threw something down or broke something.
In particular, blue seizures are usually caused by severe anger or pain, the child cries loudly, his breathing stops on exhalation and the skin acquires a blue complexion. The child may faint and develop tonic clonic seizures. The crisis may even stop before the child faints. The whole episode usually lasts less than a minute. The child usually meets within a few minutes.
Pale seizures are usually caused by pain or fear. The baby’s skin becomes suddenly pale, may faint and develop tonic clonic seizures lasting a few seconds.The whole episode usually takes 10-30 seconds. The child is usually tired after a crisis.
The intense emotional charge through these two mechanisms – though different – leads to a sudden and momentary decrease in blood flow to the central nervous system. This results in anoxia resulting in fainting and sometimes tonic-clonic convulsions.
These phenomena are statistically more common in children with iron deficiency.
These children should be investigated because the differential diagnosis for these symptoms is epilepsy and certain cardiac conditions. Also, some of these children have iron deficiency. Treatment with antiepileptic drugs is not usually recommended in these cases.