Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Pediatri, cilt.20, sa.3, ss.210-213, 2011 (Scopus)
Objective: Syncope is defined as temporary loss of consciousness and tone, due to a decrease in cerebral perfussion. The incidence of syncope in different studies varies from 86.5 to 125.8/100.000. Although syncope is a benign condition, cardiovascular, neurological or metabolic disease may be the underlying evidence. The purpose of this study is evaluating the patients who were admitted because of syncope, retrospectively, and to examine the terms of the underlying etiologic factors. Material and Methods: Between the years of 2005-2010, 175 children and adolescent patients who refered to our hospitals pediatric neurology and pediatric cardiology polyclinics with complaints of syncope were retrospectively evaluated. Post-traumatic patients and patients with a diagnosis of epilepsy were not included in the study. Results: 175 patients from 5-17 years (mean 13.5 ± 2.61) were included in this study. An etiological factor causing of syncope clinic were detected in 128/175 (73.2%) of the patients. Vasovagal syncope in 64/175 (36.6%) patients, epilepsy in 25/175 (14.3%) patients, psychogenic syncope in 27/175 (15.4%) patients, orthostatic hypotension in 9/175 (5.1%) patients, supraventricular tachycardia in 1/175 (0.6%) patients, long QT syndrome in 1/175 (0.6%) patients and aortic stenosis in 1/175 (0.6%) patients were found. The most common etiological cause were vasovagal syncope (36.6%). 14.4% of the cases had epileptiform abnormalities in the EEG. Mitral valve prolapse were determined in 26/175 (14.85%) patients by echocardiographic examinations. 152/175 of the cases underwent tilt testing and 64/175 of the patients had positive tilt table test. Conclusion: Although syncope is often a benign condition, every patient should be evaluated by a good physical examination and a detailed history, further studies should be used in patients with undiagnosed. Copyright © 2011 by Türkiye Klinikleri.