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Two teenagers with syncope.

Muhammad Waseem1, Dan Minior, Gerard Devas

  • 1Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA. waseemm2001@hotmail.com

Pediatric Emergency Care
|April 13, 2005
PubMed
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Two teenagers experienced syncope and headaches due to central nervous system conditions, including arteriovenous malformation and arachnoid cyst. This underscores the need for thorough patient evaluations for syncope.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Neuroimaging

Background:

  • Syncope is a common presenting symptom in adolescents.
  • Central nervous system (CNS) etiologies for syncope are rare but critical to identify.
  • Headaches can be a concomitant symptom in certain CNS disorders.

Observation:

  • Two adolescent cases presented with recurrent syncope and headaches.
  • Head computed tomography (CT) scans were performed for diagnostic evaluation.
  • Diagnostic imaging revealed structural CNS abnormalities as the underlying cause.

Findings:

  • Case 1: Arteriovenous malformation (AVM) identified as the cause of syncope.
  • Case 2: Arachnoid cyst identified as the cause of syncope.
  • Both AVM and arachnoid cyst are significant central nervous system pathologies.

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Implications:

  • Highlights the importance of considering CNS etiologies in adolescent syncope, even with typical presentations.
  • Emphasizes the diagnostic value of detailed medical history and physical examinations.
  • Suggests neuroimaging may be crucial in select cases of pediatric syncope presenting with neurological symptoms.