Syncope and seizures: Differential diagnosis and evaluation

Jeffrey W. Britton

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Syncope and seizures are common conditions and pose diagnostic challenges for the clinician. The cumulative lifetime incidence of epilepsy is 3 %, and the incidence of a first attack of syncope is 6.2 per 1000 person-years in the general population. Although the underlying pathophysiological processes are distinct, seizures and syncope share some clinical characteristics which may lead to diagnostic confusion. Confounding matters further is the fact that seizures and syncope may coexist in a given patient. For example, some conditions such as prolonged QT syndrome may result in both arrhythmia- associated syncope and seizures, and in some cases, seizures may result in cardiac arrhythmia and syncope. The clinical history, examination, electrocardiography, and combined EEG/ECG telemetry are all helpful in the diagnosis of seizures and syncope.

Original languageEnglish (US)
Pages (from-to)148-159
Number of pages12
JournalClinical Autonomic Research
Volume14
Issue number3
StatePublished - Jun 2004

Fingerprint

Syncope
Seizures
Differential Diagnosis
Cardiac Arrhythmias
Electrocardiography
Telemetry
Incidence
Electroencephalography
Epilepsy
Population

Keywords

  • EEG monitoring
  • Epilepsy
  • Ictal bradycardia
  • Syncope

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Syncope and seizures : Differential diagnosis and evaluation. / Britton, Jeffrey W.

In: Clinical Autonomic Research, Vol. 14, No. 3, 06.2004, p. 148-159.

Research output: Contribution to journalArticle

Britton, Jeffrey W. / Syncope and seizures : Differential diagnosis and evaluation. In: Clinical Autonomic Research. 2004 ; Vol. 14, No. 3. pp. 148-159.
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