convulsive syncope

Clinical manifestations

• complete transient loss of consciousness & loss of postural tone
• generally occurs when standing
  • hot weather may be a factor
• prodrome of nausea, lightheadedness, palpitations, visual disturbances
• non-epileptic myoclonus may be observed
• case presentations with duration of 20-30 seconds & 45 seconds
• recovery is rapid & complete

Diagnostic procedures

• video electroencephalography with tilt table testing

Differential diagnosis

• seizure
  • atonic seizure (no prodrome, duration a few seconds)

Management

see syncope

More general terms

• syncope