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Hair-grooming syncope in children
William N Evans1, Ruben Acherman, Katrinka Kip
1Children's Heart Center, Las Vegas, Nevada 89109, USA. wnevans50@aol.com
Clinical Pediatrics
|July 3, 2009
Summary
Hair-grooming can trigger syncope (fainting) in children, particularly girls, during combing and brushing. This study identifies a benign neurocardiogenic reflex in pediatric patients.
Area of Science:
- Pediatric Cardiology
- Neuroscience
Background:
- Syncope, or fainting, is a common concern in pediatric cardiology evaluations.
- Hair-grooming has been identified as an unusual trigger for syncope in some children.
Purpose of the Study:
- To describe children evaluated for syncope with a hair-grooming trigger.
- To characterize the presentation and demographics of this specific syncope group.
Main Methods:
- Retrospective review of a pediatric cardiology database.
- Analysis of 111 patients with syncope linked to hair-grooming stimuli.
Main Results:
- 78% of affected children were girls.
- Boys experienced syncope more during hair cutting; girls during combing/brushing.
- No significant abnormalities were found on electrocardiograms or echocardiograms.
Conclusions:
- This is the largest reported series of pediatric syncope cases associated with hair-grooming.
- Includes the first reported series of boys with this condition.
- Hair-grooming-induced syncope appears to be a benign neurocardiogenic reflex.
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