Seizure versus syncope

Andrew McKeon, Carl Vaughan, Norman Delanty

Research output: Contribution to journalReview articlepeer-review

89 Scopus citations

Abstract

One of the most common but difficult management problems in medicine is that of patients who present with a paroxysmal loss of consciousness. All too often the underlying diagnosis remains elusive. This has a cost both in terms of mortality and ongoing morbidity and in terms of the financial burden associated with hospitalisation and repeated investigations. We describe a practical approach to this clinical dilemma, which is rooted in adherence to basic principles of history taking and examination, formulation of a reasonable differential diagnosis, followed by an intelligent use of specific investigations and selection of an appropriate treatment. We also discuss the effect of sudden unexpected death in epilepsy and sudden cardiac death. Despite a careful and thorough approach to the patient with a "seizure versus syncope" problem, many will require repeated assessment before a diagnosis is made.

Original languageEnglish (US)
Pages (from-to)171-180
Number of pages10
JournalLancet Neurology
Volume5
Issue number2
DOIs
StatePublished - Feb 1 2006

ASJC Scopus subject areas

  • Clinical Neurology

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