Syncope: ictal features
Evidence-based neurology checklist on syncope: ictal features: Cranial features Head droop Eyes open Downbeat nystagmus at onset Upward eye deviation later Movement and tone features Autonomic features Respiratory features Features of orthostatic hypotension Duration Electroencephalogram (EEG)
Cranial features
- Head droop
- Eyes open
- Downbeat nystagmus at onset
- Upward eye deviation later
Movement and tone features
Autonomic features
Respiratory features
Features of orthostatic hypotension
Duration
Electroencephalogram (EEG)
References
- Wieling W, Thijs RD, van Dijk N, Wilde AAM, Benditt DG, van Dijk JG. Symptoms and signs of syncope: a review of the link between physiology and clinical clues. Brain 2009; 132:2630-2642.
- Bergey GK, Krumholz A, Fleming CP. Complex partial seizure provocation by vasovagal syncope: video-EEG and intracranial electrode documentation. Epilepsia 1997; 38:118-121.
- Aminoff MJ, Scheinman MM, Griffin JC, Herre JM. Electrocerebral accompaniments of syncope associated with malignant ventricular arrhythmias. Ann Intern Med 1988; 108:7914.
- Lin JTY, Ziegler DK, Lai CW. Convulsive syncope in blood donors. Ann Neurol 1982; 11:525-528.
- Lempert T, Bauer M, Schmidt D. Syncope: a videometric analysis of 56 episodes of transient cerebral hypoxia. Ann Neurol 1994; 36:233-237.
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