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Syncope is a temporary “black-out” episode (loss of consciousness with interruption of awareness of oneself and one’s surroundings) that is caused by a sudden lack of blood supply to the brain. There can be many causes of syncope (both cardiac and noncardiac), but the two most common causes include vasovagal syncope (often triggered by pain or emotional stress) and orthostatic hypotension (triggered by a change from seated to standing position or when a person has been standing for an extended period of time). Seizure-like movements can occasionally accompany syncope, and it is important for physicians to rule out syncope when considering a diagnosis of epilepsy.
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References and Readings
Bergfeldt, L. (2003). Differential diagnosis of cardiogenic syncope and seizure disorders. Heart, 89, 353–358.
Grubb, B. P. (2007) The fainting phenomenon: Understanding why people faint and what to do about it (2nd ed.). New York: Blackwell Publishing.
Grubb, B. P., Gerard, G., Roush, K., Temesy-Armos, P., Elliott, L., Hahn, H., et al. (1991). Differentiation of convulsive syncope and epilepsy with head-up tilt testing. Annals of Internal Medicine, 115(11), 871–876.
Sheldon, R., Rose, S., Ritchie, D., Connolly, S. J., & Koshman, M. L. (2002). Historical criteria that distinguish syncope from seizures. Journal of the American College of Cardiology, 40, 142–148.
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Weber-Mihaila, C.J. (2011). Syncope. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_1057
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