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].