Syncope
Introduction: Syncope is a sudden, transient loss of consciousness. It recovers rapidly without any neurological sequel. It is because of transient hypo-perfusion of the brain. It should be differentiated from convulsive seizure. Differentiating Features Between Syncope & Convulsive Seizure Syncope Precipitating Factors Prolonged standing Voiding of urine Prolonged coughing Prolonged fasting Alcohol intoxication Strong emotional reaction Premonitory Symptoms Dizziness Lightheadedness Excessive perspiration Epigastric discomfort Blurring of vision or blackout Facial pallor Paresthesia Others Posture of the patient: Mostly occur in standing posture Progression of unconsciousness: Mostly immediate Duration of episode: Loss of consciousness occur for few seconds Tongue bite: Rarely Involuntary jerking movements of limbs: Rarely Ictal urinary incontinence: Rarely Post-ictal headache: Rarely Convulsive Seizure Precipitating factors: Usually none Premonitory Symptoms: Aura or Déjà vu Po...