• J. Child Neurol. · May 2002

    Case Reports

    Adolescent asystolic syncope.

    • Paul M Shore and Michael Painter.
    • Department of Pediatric Critical Care Medicine, Children's Hospital of Pittsburgh, Pennsylvania 15213, USA.
    • J. Child Neurol. 2002 May 1; 17 (5): 395-7.

    AbstractWhen 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.

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