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  • Title: Syncope: there is more than haemodynamic failure.
    Author: Loesch AM, Becker A, Noachtar S.
    Journal: BMJ Case Rep; 2013 Aug 09; 2013():. PubMed ID: 23933860.
    Abstract:
    Convulsive syncopes may be particularly difficult to differentiate from epileptic seizures. Recurrent syncopes are caused by autonomic or non-autonomic failure. In this report, we present a 22-year-old woman who was misdiagnosed as epileptic and whose first symptoms during neurocardiogenic syncope occurred prior to asystole. The patient sensed her aura and reached for the alarm button 2 s before a cardiac asystole was documented in the ECG. We conclude that so far unspecified autonomic mechanisms play a significant role in our patient leading to the symptoms of dizziness and nausea heralding her attacks prior to the occurrence of asystole.
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