Clinical Spectrum and Prevalence of Neurologic Events Provoked by Tilt Table Testing

Abstract

Neurologic events are common during episodes of neurocardiogenic syncope, and this diagnosis should be considered in the evaluation of unexplained seizure-like activity.

How to Differentiate Syncope from Seizure

“…Five had multifocal myoclonic jerky movements, and five had focal myoclonic jerky movements. Passman and colleagues 24 reported that 18 (8%) of 222 positive tilt tests had associated convulsive activity. Eleven patients (5%) had tonic-clonic activity; three had focal seizures; and one each had dysarthria, aphasia, unilateral extremity dysesthesia, and temporal lobe epilepsy symptoms (see Table 2).…”

“…About 6% of syncope induced by tilt testing is associated with convulsions, 23,24 and 12% of There is a wealth of presentations of convulsive activity during syncope. [22][23][24]28 blood donor patients in a retrospective analysis had convulsive syncope. 22 The higher prevalence during the fainting lark maneuvers and the prospective observation may reflect increased observer awareness, clinical irrelevance, or both.…”

Importance of Tilt-Table Testing Compared with Schellong’s Test for the Diagnosis of Orthostatic Dysregulations/Syncopes

“…Neurologische Ereignisse sind im Verlauf neurokardiogener Synkopen nicht untypisch, so dass diese Diagnose in der Einschätzung ungeklärter Krampfaktivität berücksichtigt werden sollte [13].…”

Orthostatic Convulsive Syncope in a Burn Patient

“…1 Convulsive movements occur in about 5% of all syncope cases and represent a critical degree of cerebral hypoxia. 2 Those exhibiting convulsive symptoms during a syncopal event display greater hemodynamic changes (decreases in heart rate and blood pressure) and develop asystole more often when compared with nonconvulsive patients with syncope. 2,3 In this report, we present a case of orthostatic convulsive syncope in a burn patient.…”

“…2 Those exhibiting convulsive symptoms during a syncopal event display greater hemodynamic changes (decreases in heart rate and blood pressure) and develop asystole more often when compared with nonconvulsive patients with syncope. 2,3 In this report, we present a case of orthostatic convulsive syncope in a burn patient. A search of the literature revealed no other cases with this specific diagnosis in burn patients.…”