Key result
Conservative management resolves recurrent nocturnal supine vasovagal syncope diagnosed by tilt table testing.
Why the study?
Supine loss of consciousness is rare and neurally mediated syncope is rarely considered due to lack of orthostatic stress and preserved cerebral perfusion.
Case Report (n=1)
Vasovagal syncope should be considered in the differential diagnosis of nocturnal supine loss of consciousness, and can be successfully managed conservatively.
Consider vasovagal syncope in unexplained supine nocturnal syncope; extends recognized triggers but leaves open prevalence and evaluation.
Supine loss of consciousness is a relatively rare occurrence prompting investigations for underlying causes as diverse as cardiac arrhythmia, hypoglycaemia and nocturnal epilepsy. Neurally mediated syncope is rarely implicated as the cause of symptoms in supine loss of consciousness because of the absence of orthostatic stress and gravitational relative preservation of cerebral perfusion, but we report here on a case of recurrent, atypical and troublesome vasovagal syncope occurring at night while supine. Diagnosis aided by head-up tilt table testing and conservative management brought about complete resolution of symptoms.
No takes yet. Share an insight, caveat, or question.
Marrison et al. (2007) conducted a case report in Supine vasovagal syncope (n=1). Conservative management was evaluated on Resolution of symptoms. Conservative management and diagnosis aided by head-up tilt table testing brought about complete resolution of symptoms in a case of recurrent nocturnal supine vasovagal syncope.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: