Neurocardiogenic syncope differentiating from other diseases
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Neurocardiogenic Syncope Microchapters |
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Differentiating Neurocardiogenic Syncope From Other Diseases |
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Diagnosis |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Neurocardiogenic syncope must be distinguished from situational syncope (cough syncope, defecation syncope, micturation syncope and carotid sinus hypersensitivity.
Situational Syncope
The syncope comes on after cough, defecation, or micturation
Neurally Mediated Syncope
Syncope associated with throat or facial pain (glossopharyngeal neuralgia or trigeminal neuralgia) is indicative of neurally mediated syncope with neuralgia.
Neurocardiogenic Syncope
Syncope following exposure to a noxious stiumulus, fear, or pain is consistent with neurocardiogenic syncope.
Carotid Sinus Syncope
Carotid sinus syncope may occur with rotation or turning of the head or pressure on the carotid sinus (for example, carotid massage, shaving, tight collars or neckwear, or tumour compression).4