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Related Experiment Video

Updated: Feb 19, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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Syncope in Pediatric Practice.

Pratibha Singhi1, Arushi Gahlot Saini2

  • 1Pediatric Neurology Unit, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. doctorpratibhasinghi@gmail.com.

Indian Journal of Pediatrics
|November 10, 2017
PubMed
Summary

Syncope, a common childhood disorder, results from temporary brain underperfusion. Diagnosis is mainly clinical, with management tailored to the cause, often involving lifestyle changes for neurocardiogenic syncope.

Keywords:
CardiogenicChildrenNeurogenicSyncopeVasovagal

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Area of Science:

  • Pediatrics
  • Neurology
  • Cardiology

Background:

  • Syncope is a common paroxysmal disorder in children and adolescents.
  • It involves sudden, transient loss of consciousness and postural tone with full recovery.
  • The primary mechanism is transient global cerebral hypoperfusion.

Purpose of the Study:

  • To review the causes, diagnosis, and management of syncope in children.
  • To emphasize the clinical nature of diagnosis, especially for neurocardiogenic syncope.
  • To highlight the importance of identifying underlying causes and improving quality of life.

Main Methods:

  • Clinical diagnosis is paramount, with limited utility of laboratory investigations.
  • Categorization of causes into neural, cardiovascular, and other non-cardiovascular.
  • Management strategies tailored to specific etiologies, including lifestyle modifications and medication.

Main Results:

  • Neurocardiogenic syncope, the most common type, has an excellent prognosis with appropriate management.
  • Cardiogenic syncope prognosis varies based on the underlying cardiac pathology.
  • Clinical assessment is key to excluding serious underlying conditions.

Conclusions:

  • Syncope in children requires thorough assessment to rule out life-threatening conditions.
  • Management focuses on preventing recurrence and improving quality of life.
  • Early specialist referral is crucial for cardiac causes.