Article Text

PDF

Fainting painting
  1. Philip E.M. Smith
  1. Consultant Neurologist, Department of Neurology, University Hospital of Wales, Cardiff, CF144XW, UK; E-mail: SmithPE{at}cardiff.ac.uk

    Abstract

    SYNCOPE

    Fainting (syncope) is temporary loss of consciousness and posture due to impaired cerebral perfusion. Vasovagal syncope, the commonest form, typically is situational (bathroom at night, or hot, crowded environments) with specific triggers, e.g. prolonged standing, emotional trauma, pain, coughing, swallowing or micturition. Vasovagal syncope is generally benign, but fainting without provocation or warning, or for the first time in older individuals, suggests the more serious cardiac syncope – this must be investigated and managed urgently.

    There are three phases to syncope: pro-drome, unconsciousness and recovery. The vasovagal syncope prodrome — light-headedness, nausea, sweating, blacking of vision — develops over 1–5 min. Unconsciousness lasts usually less than a minute, with pallor, sweating, cold skin, eyes open and elevated, and sometimes limb stiffness and convulsive jerks. Incontinence and injury are uncommon, and lateral tongue biting very rare. Recovery is prompt and any postictal confusion resolves in seconds.

    SYNCOPE IN PAINTINGS

    Although syncope is

    Statistics from Altmetric.com

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.