scholarly journals Evaluation of Emergency Room Patients with Transient Loss of Consciousness. Significance of Ergonovine Provocation Test.

1991 ◽  
Vol 2 (3) ◽  
pp. 630-637
Author(s):  
Yasuhiko Tanabe ◽  
Kenshi Tsuchida ◽  
Toshihide Shu ◽  
Yutaka Igarashi ◽  
Yusuke Tamura ◽  
...  
2019 ◽  
Vol 144 (12) ◽  
pp. 835-841
Author(s):  
Tobias Baumgartner ◽  
Rainer Surges

AbstractTransient loss of consciousness (TLOC) is a frequent cause of referral to an emergency room. In view of the impact on treatment and the patients’ daily life activities (e. g. profession, driving license), an accurate and timely diagnosis is of uttermost importance. This article provides key features and suggests a practical step-by-step approach of how to differentiate syncope, epileptic and psychogenic non-epileptic seizures as the commonest causes of nontraumatic TLOC.


2003 ◽  
Vol 21 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Kirsti Martikainen ◽  
Kaija Seppä ◽  
Paula Viita ◽  
Sulo Rajala ◽  
Pekka Laippala ◽  
...  

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Ivo Casagranda ◽  
Michele Brignole ◽  
Simone Cencetti ◽  
Gianfranco Cervellin ◽  
Giorgio Costantino ◽  
...  

The recommendations enclosed in the present document have been developed by a group of experts appointed by the <em>Gruppo Multidisciplinare per lo Studio della Sincope</em> (Multidisciplinary Group for the Study of Syncope; GIMSI) and Academy of Emergency Medicine and Care (AcEMC). The aim is to define the diagnostic pathway and the management of patients referred to the Emergency Department (ED) for transient loss of consciousness of suspected syncopal cause, which is still unexplained after the initial evaluation. The risk stratification enables the physician to admit, discharge or monitor shortly the patient in the intensive short-stay Syncope Observation Unit (SOU). There are three risk levels of life-threatening events or serious complications (low, moderate, high). Low risk patients can be discharged, while high risk ones should be monitored and treated properly in case of worsening. Moderate risk patients should undergo clinical and instrumental monitoring in SOU, inside the ED. In all these three cases, patients can be subsequently referred to the Syncope Unit for further diagnostic investigations.


Author(s):  
Giuseppe Micieli ◽  
Umberto Aguglia ◽  
Francesca Baschieri ◽  
Giovanna Calandra Buonaura ◽  
Anna Cavallini ◽  
...  

2019 ◽  
Vol 160 (29) ◽  
pp. 1143-1145
Author(s):  
János Tomcsányi ◽  
Zoltán Nényei ◽  
Anna Kelemen ◽  
Anita Kamondi

Abstract: A 52-year-old woman is presented with repetitive transient loss of consciousness. Implantable loop recorder (ILR) recorded muscle artifacts during the generalized tonic-clonic seizures. Seizure was diagnosed and antiepileptic drug was started. The patient has been asymptomatic for 9 months. Orv Hetil. 2019; 160(29): 1143–1145.


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