Syncope: ictal features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Syncope: ictal features. Head droop, Eyes open, Downbeat nystagmus at onset, Upward eye deviation later. Fully referenced neurology checklist.
Cranial features
- Head droop
- Eyes open
- Downbeat nystagmus at onset
- Upward eye deviation later
Movement and tone features
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Autonomic features
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Respiratory features
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Features of orthostatic hypotension
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Duration
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Electroencephalogram (EEG)
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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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