We reviewed the literature to develop a differential diagnostic table, focusing on: age, awake status, position, emotional/physiologic stressors, onset, aura, appearance, injury on falling, seizure characteristics, automatism, length of unconsciousness and subsequent confusion, pulse characteristics, blood pressure, urinary incontinence, seizure duration, recovery time post-event, post-seizure sequelae, amnesia, posture vs. I95.1) postprocedural shock ( T81.1-) psychogenic syncope ( F48.8) shock NOS ( R57.9) shock complicating or following abortion or ectopic or molar pregnancy ( O00 - O07, O08.3) shock complicating or following labor and delivery ( O75.1) Stokes-Adams attack ( I45. We found no good algorithm to differentiate convulsive syncope from epilepsy. The other 35% are due to a variety of causes. Convulsive syncope occurs in only about 12% of syncopal episodes, 65% of these being vasovagal in origin. The diagnosis of syncope is discussed, emphasizing that a meticulous history from an observer or the patient, a good physical examination, and an ECG are the cornerstones of diagnosis.

However, a benign outcome for a single syncopal episode, non-cardiac in origin, is the norm. About 50% of all syncopal episodes cannot be identified as to etiology. Among the 226 patients who had 252 presentations to the emergency department for syncope, 144 were discharged directly, and 82 were admitted to the hospital. This paper discusses syncope in general and the differential diagnosis between vasovagal syncope and other forms of syncope. Even more difficult is the differential diagnosis between convulsive syncope and epilepsy after the first event. Other reasons for fainting in children and adolescents are much less common. Syncope is only one reason someone can faint.

For a moment, the brain does not have the needed amount of oxygen. Syncope is a symptom described as fainting, blacking out, falling out, or 'having a spell. Symptoms like dizziness, lightheadedness, diaphoresis, nausea, and visual disturbances may precede it or occur suddenly with none of the above symptoms. Case study 22-year-old young lady presentedwith episodes of loss of consciousness.The first episode occurred at the age ofnine during blood drawing. Syncope in the aviation environment can be a very difficult problem to assess. Fainting (syncope) is caused by a sudden decrease in blood pressure. Syncope is caused by decreased cerebral blood flow leading to transient loss of consciousness and postural tone, associated with spontaneous recovery.

Convulsive syncopal episode