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Clinical approach to syncope in children.
1Center for Pediatric Neurology, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA. moodlem@ccf.org
Seminars in Pediatric Neurology
|March 8, 2013
Summary
Pediatric syncope, a common neurological issue, presents as brief loss of consciousness. While alarming, most cases are benign, requiring focused history and examination for diagnosis.
Area of Science:
- Neurology
- Pediatrics
Background:
- Pediatric syncope is a frequent neurological concern in children.
- It involves abrupt, brief loss of consciousness, causing alarm.
- The differential diagnosis is broad, though most cases are benign.
Purpose of the Study:
- To review the various types of pediatric syncope.
- To provide a clinical approach for diagnosis, investigation, and management.
Main Methods:
- Comprehensive and focused patient history.
- Thorough clinical examination for high-risk patients.
Main Results:
- Most pediatric syncope cases are benign.
- Diagnostic testing often yields low diagnostic value.
- History and physical exam are key for diagnosis.
Conclusions:
- A structured approach to history and examination is crucial.
- Management should be guided by clinical assessment.
- Avoidance of unnecessary costly testing is recommended.
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