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Journal of Child Neurology
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Adolescent Asystolic Syncope

Paul M. Shore

Department of Pediatric Critical Care Medicine

Michael Painter

Division of Child Neurology Children's Hospital of Pittsburgh Pittsburgh, Pennsylvania

When the etiology of syncope is considered, age is a major parameter. Breath-holding spells are thought of as an entity of early childhood, whereas neurogenic syncope is limited to older children and adults. Both entities, however, involve a similar derangement of the autonomic nervous system. We report an adolescent with a history of breath-holding spells presenting to our institution with neurogenic syncope. Her response to vagal stimulation is consistent with that seen by other investigators in both entities. We propose that pallid breath-holding spells and neurogenic syncope are the same entity. (J Child Neurol 2002;17:395-397).

Journal of Child Neurology, Vol. 17, No. 5, 395-397 (2002)
DOI: 10.1177/088307380201700518
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Home page
 J Child NeurolHome page
J. B. P. Stephenson
Clinical Diagnosis of Syncopes (Including So-called Breath-Holding Spells) Without Electroencephalography or Ocular Compression
J Child Neurol, April 1, 2007; 22(4): 502 - 508.
[Abstract] [PDF]