Syncope

Pericardial Effusion presenting as Cough Syncope

Case Reports, Volume 19, Issue 2, Pages 61 – 112 (2020)

Syncope is a common clinical presentation and accounts for 1-3% of Emergency Department (ED) visits. Cough syncope is a rare type of situational syncope, often caused by respiratory conditions like bronchial asthma and chronic obstructive pulmonary disease. Cough syncope due to pericardial effusion is a rare but treatable condition. Delay in diagnosis can lead to fatal complications due to cardiac tamponade. We present a case of recurrent cough syncope caused by large pericardial effusion.

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Pulmonary embolism in a patient with “isolated syncope”, a diagnostic challenge

Case Reports, Volume 14, Issue 1, Pages 1 - 40 (2015)

Abstract

Syncope is a recognized presenting symptom in patients with pulmonary embolism (PE), and is more common in older patients and following a large embolus. Isolated syncope, in the absence of dyspnea or tachycardia, is uncommon in this setting, and may be misdiagnosed as cardiac in origin, leading to a delay in appropriate treatment. We present a case which illustrates the importance of consideration of pulmonary embolism in the differential diagnosis of patients presenting with syncope, and the value of echocardiography in its diagnosis.

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Exertional Syncope as a presenting feature in Guillain-Barré syndrome

Case Reports, Volume 11, Issue 4, Pages 193 - 264 (2012)

Abstract

Guillain-Barré syndrome (GBS) is an acute demyelinating disorder of the peripheral nervous system that results in motor weakness, absent reflexes and autonomic nervous system dysfunction. Autonomic failure is reported in approximately 65 % of patientswith GBS and usually follows extensive motor involvement. In this case our patient presented with syncope and other signs of autonomic failure before the motor weakness developed. Few cases in the literature have reported features of autonomic failure before established weakness in GBS; to our knowledge, syncope has not been described previously as a presenting feature of GBS.

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Isolated Syncope – an Uncommon Presenting Feature of Pulmonary Embolism

Case Reports, Volume 10, Issue 2, Pages 65 - 120 (2011)

Abstract

We describe a case of a 62 year old man who presented with transient loss of consciousness following exertion. On presentation to hospital, he was haemodynamically stable and was not breathless, tachycardic or hypoxic at rest. The finding of exercise-induced desaturation on pulse oximetry triggered further investigations which confirmed the presence of PE.

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Pause for thought? Syncope and sinus arrest as the presenting feature of temporal lobe epilepsy

Case Reports, Volume 13, Issue 2, Pages 53 - 100 (2014)

Abstract

Some forms of focal epilepsy, including temporal lobe epilepsy, are rarely associated with ictal bradycardia and sinus node arrest. We report a case of a previously healthy man presenting with syncope in whom telemetry revealed sinus arrest. Initial treatment was with permanent pacemaker implantation and it was only following a subsequent grand mal seizure that other symptoms suggestive of temporal lobe epilepsy were documented. Anti-epileptic medication was subsequently commenced with resolution of all symptoms. There are few previously reported cases of syncope and documented sinus node arrest as the presenting feature of temporal lobe epilepsy.

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“Funny Turns” in the Elderly

Clinical Reviews, Volume 3, Issue 1, Pages 1 - 44 (2004)

Abstract

‘Funny turns’ are a common cause of hospitalization, particularly of elderly patients. The term may be used to define a wide variety of conditions, and to provide a detailed description of all possible causes would be beyond the scope of a single review. Instead this article aims to provide the reader with an overview of the common presentations, suggest a working framework for the admitting physician and guide judicious use of the investigations available.

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Syncope in the Hospital

A Case to Remember, Volume 2, Issue 3, Pages 75 - 107 (2003)

Abstract

A case is presented in which a man with anomalous coronary artery anatomy and thrombotic oronary stenoses had an episode of syncope. Further subsequent presyncopal events coincided with ventricular tachycardia on ambulatory ECG; stenting of the lesions eliminated further symptoms. The importance of seeking prognostically significant cardiac causes of syncope is discussed.

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