Syncope and seizures-differential diagnosis and evaluation
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 processe...
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| Veröffentlicht in: | Clinical autonomic research 2004-06, Vol.14 (3), p.148-159 |
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| description | 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. |
| doi_str_mv | 10.1007/s10286-004-0184-0 |
| format | Article |
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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.</description><identifier>ISSN: 0959-9851</identifier><identifier>EISSN: 1619-1560</identifier><identifier>DOI: 10.1007/s10286-004-0184-0</identifier><identifier>PMID: 15241643</identifier><identifier>CODEN: CAURE9</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Diagnosis, Differential ; Electrocardiography ; Electroencephalography ; Female ; Heart Diseases - complications ; Heart Diseases - diagnosis ; Humans ; Male ; Monitoring, Physiologic ; Seizures - diagnosis ; Seizures - therapy ; Syncope - diagnosis ; Syncope - therapy ; Tachycardia, Sinus - physiopathology</subject><ispartof>Clinical autonomic research, 2004-06, Vol.14 (3), p.148-159</ispartof><rights>Copyright National Library of Medicine - MEDLINE Abstracts Jun 2004</rights><rights>Copyright Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15241643$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Britton, Jeffrey W</creatorcontrib><title>Syncope and seizures-differential diagnosis and evaluation</title><title>Clinical autonomic research</title><addtitle>Clin Auton Res</addtitle><description>Syncope and seizures are common conditions and pose diagnostic challenges for the clinician. 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| ispartof | Clinical autonomic research, 2004-06, Vol.14 (3), p.148-159 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals (MCLS) |
| subjects | Adolescent Adult Diagnosis, Differential Electrocardiography Electroencephalography Female Heart Diseases - complications Heart Diseases - diagnosis Humans Male Monitoring, Physiologic Seizures - diagnosis Seizures - therapy Syncope - diagnosis Syncope - therapy Tachycardia, Sinus - physiopathology |
| title | Syncope and seizures-differential diagnosis and evaluation |
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