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The severe adverse event in a locally anesthetized circumcision: A case report of a breath-holding spell

  • Syifa Fauziah Fadhly ,
  • Irfan Wahyudi ,
  • Gerhard Reinaldi Situmorang ,
  • Arry Rodjani ,


Introduction: Circumcision in children can be done with local anesthesia. Indifferent from other surgeries, circumcision certainly has its own risks dan complications.

Case description: A 5-month-old baby who underwent circumcision with local anesthesia was reportedly losing consciousness intraoperatively, followed by a generalized seizure. No previous medical abnormalities were known. It was thought that a breath-holding spell (BHS) was a possible etiology of this event. The patient regains consciousness after a few hours. Electroencephalogram showed normal results. BHS is a harmless condition, where it is believed that crying may cause children to be hypoxic due to prolonged breath-holding and may lead to loss of consciousness or even seizure. Patients with BHS usually recover and regain consciousness after several minutes and should not have any long-term effects after the episode.

Conclusion: Although considered a benign condition, BHS is still a frightening situation for parents and even the surgeon; thus, good communication with the patient's parents is necessary.


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How to Cite

Fadhly, S. F., Wahyudi, I., Gerhard Reinaldi Situmorang, & Arry Rodjani. (2022). The severe adverse event in a locally anesthetized circumcision: A case report of a breath-holding spell. Bali Medical Journal, 11(1), 209–210.




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Syifa Fauziah Fadhly
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Irfan Wahyudi
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Gerhard Reinaldi Situmorang
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Arry Rodjani
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