John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Self-induced stretch syncope of adolescence: a video-EEG documentation Volume 9, numéro 4, December 2007

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  • Self-induced stretch syncope of adolescence: a video-EEG documentation
  • Self-induced stretch syncope of adolescence: a video-EEG documentation

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Auteurs
IPMC Sophia-Antipolis, CNRS UMR6097/UNSA, Valbonne, France, Video-EEG unit, Dpt of Neurology, Nice University Hospitals, Nice, France
  • Mots-clés : syncope, stretch syncope self-induced, vertebro-basilar system, Valsalva manoeuvre, epilepsy misdiagnosis
  • DOI : 10.1684/epd.2007.0133
  • Page(s) : 413-7
  • Année de parution : 2007

We present the first video-EEG documentation, with ECG and EMG features, of stretch syncope of adolescence in a young, healthy 16-year-old boy. Stretch syncope of adolescence is a rarely reported, benign cause of fainting in young patients, which can be confused with epileptic seizures. In our patient, syncopes were self-induced to avoid school. Dynamic transcranial Doppler showed evidence of blood flow decrease in both posterior cerebral arteries mimicking effects of a Valsalva manoeuvre. Dynamic angiogram of the vertebral arteries was normal. Hypotheses concerning the physiopathology are discussed. [Published with video sequences].