The Syncope-vertigo paradox: Vestibular paroxysmia as a stealth cause of recurrent transient loss of consciousness

Key Points

• Recurrent episodes of transient loss of consciousness are linked to vestibular paroxysmia, revealing an overlooked connection.
• A key insight identifies vestibular paroxysmia in 37% of individuals experiencing syncope or vertigo.
• Observational analysis shows that patients often misidentify symptoms, complicating diagnosis and treatment.
• Awareness of vestibular paroxysmia's role may aid in more accurate diagnoses, potentially improving patient outcomes.