Key result
Neuroimaging offers no benefit for evaluating syncope with clear vasovagal or orthostatic features.
Why the study?
Is neuroimaging necessary to evaluate syncope?
Is neuroimaging necessary to evaluate syncope?
A clinical vignette discussing the evaluation of syncope and the necessity of neuroimaging.
Case vignette cautions against routine neuroimaging in syncope evaluation; leaves open standardized protocols pending higher-level evidence.
A 40-year-old woman with a history of hypertension, who was recently started on a diuretic, presents to the emergency department after a witnessed syncopal event. She reports a prodrome of lightheadedness, nausea, and darkening of her vision that occurred a few seconds after standing, followed by
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Hutt et al. (2019) studied this question. Neuroimaging is typically unnecessary for evaluating syncope in patients who present with a clear orthostatic or vasovagal etiology.
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