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[Non-epileptic episodes of unconsciousness. Pathophysiology and clinical aspects]
Fortschritte Der Medizin
|October 23, 1975
Insights
Syncopes, periods of unconsciousness not caused by epilepsy, are now understood to stem from cardiovascular diseases. This review covers their triggers, mechanisms, symptoms, and diagnostic approaches.
Area of Science:
- Cardiology
- Neurology
Context:
- Historically, syncopes were misclassified as non-epileptic seizures.
- Current medical understanding encompasses all transient loss of consciousness due to cardiovascular conditions.
Purpose:
- To redefine syncopes beyond their historical association with seizures.
- To provide a comprehensive overview of cardiovascular-induced loss of consciousness.
Summary:
- Discusses precipitating factors and pathophysiology of syncopal episodes.
- Details the clinical symptoms associated with syncopes.
- Explores differential diagnosis for distinguishing syncopes from other conditions.
Impact:
- Clarifies the definition and scope of syncopal events.
- Aids clinicians in accurate diagnosis and management of cardiovascular-related syncope.
- Improves understanding of transient loss of consciousness.
Abstract:
Originally syncopes were defined as seizures without organic (W. Schulte), nowadays all periods of unconsciousness not caused by epilepsy but by primary or secondary cardiovascular diseases are included. Precipitating factors, pathophysiology, symptoms and differential diagnosis are discussed.