title: Is it possible to accurately differentiate neurocardiogenic syncope from epilepsy?
abstract: Global cerebral hypoperfusion resulting in syncope, and asynchronous discharge of cerebral neurons leading to seizure, are two major mechanisms of transient loss of consciousness. They both have a lot in common in clinical and historical settings, although with a high prevalence of incorrect diagnosis, even by well-trained staff. The aim of this review was to try to combine data from both a cardiologist's and a neurologist's perspective (history taking, special questionnaires, serum prolactin, EEG, CT/MRI, tilt-testing, loop recorders).
authors.affiliation: Cardiology Department, Samara Regional Cardiology Center, 43 Aerodromnaja St., Samara, Russia. duplyakov@yahoo.com
authors.forename: Dmitry
authors.initials: D
authors.lastname: Duplyakov
authors.forename: Galina
authors.initials: G
authors.lastname: Golovina
authors.forename: Svetlana
authors.initials: S
authors.lastname: Garkina
authors.forename: Natalia
authors.initials: N
authors.lastname: Lyukshina
mesh_terms: D015415:Biomarkers / Q000097:blood; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004562:Electrocardiography; D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008487:Medical History Taking; D011237:Predictive Value of Tests; D011388:Prolactin / Q000097:blood; D019462:Syncope, Vasovagal / Q000150:complications / Q000175:diagnosis*; D018667:Tilt-Table Test; D014474:Unconsciousness / Q000209:etiology
chemical_list: D015415:Biomarkers; D011388:Prolactin