Syncope and Paroxysmal Disorders Other than Epilepsy

Friedman, Neil; Ghosh, Debabrata; Moodley, Manikum

doi:10.1016/b978-1-4377-0435-8.00065-2

Cited by 6 publications

(9 citation statements)

References 315 publications

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“…These figures are notable considering that syncope affects 15%-25% of children and adolescents [20]. Obtaining a detailed history including provocative factors, pre-and perisyncopal symptoms, and recovery period plays a key role in differentiating syncope from seizure.…”

Section: Discussionmentioning

confidence: 97%

Paroxysmal nonepileptic events in pediatric patients

Park

Lee

Lee³

et al. 2015

Epilepsy & Behavior

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Section: Discussionmentioning

confidence: 97%

Paroxysmal nonepileptic events in pediatric patients

Park

Lee

Lee³

et al. 2015

Epilepsy & Behavior

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“…L-ACAOS is generally associated with a high risk of SCD, and the benefits of revascularization in L-ACAOS patients likely outweigh the risks ( 12 , 13 ). The study by Cheezum reported that R-ACAOS patients with interarterial compression suffered from more frequent syncopal episodes and chest pain than AAOCA without interarterial compression ( 3 , 12 ). In another study by Kaushal ( 13 ), symptomatic patients with AAOCA had a longer intramural course than asymptomatic patients with AAOCA.…”

Section: Discussionmentioning

confidence: 99%

“…Syncope is defined as a sudden loss of consciousness caused by global hypoperfusion of the brain ( 1 , 2 ). Its incidence is 15–25% in children, predominantly occurring in female child ( 3 ). The relapse rate of syncope is as high as 33–51% within 5 years ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…Its incidence is 15–25% in children, predominantly occurring in female child ( 3 ). The relapse rate of syncope is as high as 33–51% within 5 years ( 3 ). Etiologies of transient loss of consciousness in the young include vasovagal syncope (70–80%), psychogenic and unexplained diseases (20%), and cardiovascular diseases (2–3%) ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

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Congenital Anomalous Origin of Coronary Artery Disease in Children With Syncope: A Case Series

et al. 2022

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ObjectiveThis study is aimed to analyze the characteristics of congenital anomalous origin of coronary artery in pediatric patients with syncope.MethodsA total of eight patients were retrospectively analyzed from August 2018 to August 2020 who were admitted to the Peking University First Hospital with the complaint of syncope and were diagnosed with congenital coronary artery disease.ResultsIn total, eight patients were included in the study with a median age of 12.5 ± 2.7 (8–16) years. In total, four of them were males, and four were females. Six of the eight patients were diagnosed with right anomalous coronary artery from the opposite sinus (R-ACAOS), while two patients were diagnosed with left anomalous coronary artery from the opposite sinus (L-ACAOS). The most frequent inducement was exercise, and the commonest prodromes were dizziness and blurred vision. Serum cardiac markers and exercise electrocardiography test (EET) were normal in seven of the patients. The majority of cases had abnormal electrocardiograms (ECGs), but only two of them manifested elevated/depressed ST-T segments. In total, seven patients had positive head-up tilt test (HUT). Echocardiography and coronary artery computed tomography angiography (CTA) were performed to aid the diagnosis. Coronary unroofing procedures were conducted in four patients, and none of them reported syncope after the surgery. The other four patients received routine medical treatment for vasovagal-like syncope. In total, two patients out of them became asymptomatic, and in the other two patients, episodes of syncope were reduced, but they still required medical treatment.ConclusionCongenital coronary artery anomalies in children with syncope need prompt attention. Though ECG and echocardiography are the common methods for investigating cardiac syncope, they have limited ability to find coronary artery anomalies. When coronary artery anomalies are suspected, coronary CTA should be considered.

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“…Senkop, ani ve kendi kendini sınırlayan bilinç/postural tonus kaybının ardından nörolojik sekel olmaksızın spontan ve tam iyileşmedir (1). Senkop olayından önce birkaç saniye-bir kaç dakika sürebilen, nonspesifik semptomlar (bulantı, epigastrik rahatsızlık, görme bulanıklığı, baş dönmesi, terleme, hiperventilasyon, çarpıntı, solukluk, soğuk cilt veya güçsüzlük) ile karakterize bir "prodromal veya premonitory faz" izlenir (2). Senkop, kadın cinsiyette ve çocukadolesanların %15-25'inde daha sık görülür ve ilk beş yılda tekrarlama oranı %33-51'dir (2).…”

Section: Introductionunclassified

Çocuk nöroloji kliniğine senkop şikayeti ile başvuran hastaların retrospektif özellikleri

Aydin¹,

Bucak²,

ERDOĞAN³

2022

Mustafa Kemal Üniversitesi Tıp Dergisi

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Çocuk nöroloji kliniğine senkop şikayeti ile başvuran hastaların retrospektif özellikleriAmaç: Çalışmamızın amacı; senkop şikâyeti ile çocuk nöroloji polikliniğine başvuran hastaların senkop etiyolojisi, klinik özellikleri ve laboratuvar parametrelerinin incelenmesidir. Yöntem: Ekim 2017-Haziran 2019 tarihleri arasında üçüncü basamak bir eğitim ve araştırma hastanesi çocuk nöroloji polikliniğine senkop nedeniyle başvuran 107 hasta çalışmaya dahil edildi. Bulgular: Çalışmaya 62'si (%57.9) kız, 45'i (%42.1) erkek olmak üzere toplam 107 hasta dahil edildi. Yaş ortalaması 10.54±4.88 yıl (1-18 yaş) idi. Senkop atak sayısı ortalama 2.79, ortanca 3 (1-4) idi. 3 veya daha fazla sayıda senkop geçirenlerin sayısı daha fazla idi (%57). 45 (%42.1) olguda prodromal belirtiler ve 32 (%30.2) olguda postsenkop bulgular bulunmaktaydı. Prodromal belirtiler sıklık sırasına göre değerlendirildiğinde; motor bulgular (n=32, %30), üriner inkontinans-motor bulgular (n=8, %7.5) ve üriner inkontinans (n=5, %4.6) olduğu belirlendi. Altı (%5.6) olguda elektrokardiyografisinde patoloji, dokuz (%8,4) olguda kranial görüntülemede anormallik, 21 (%19.6) olgunun elektroensefalografisinde epileptiform karakterde anormallik saptandı. Senkop etiyolojisinde görülen en sık üç neden; vazovagal nedenler (n=50, %46.7), psikojenik nedenler (n=25, %23.4) ve epilepsi (n=21, %19.6) idi. Sonuç: Senkop etiyolojisinin çeşitliliği bilinmektedir. Rekürren senkop ataklarının çocuk nöroloji poliklinik başvurularında ön planda ve senkop etiyolojisinde epilepsinin literatüre göre yüksek oranda olduğu bilgisine ulaşıldı.

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Syncope and Paroxysmal Disorders Other than Epilepsy

Cited by 6 publications

References 315 publications

Paroxysmal nonepileptic events in pediatric patients

Paroxysmal nonepileptic events in pediatric patients

Congenital Anomalous Origin of Coronary Artery Disease in Children With Syncope: A Case Series

Çocuk nöroloji kliniğine senkop şikayeti ile başvuran hastaların retrospektif özellikleri

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