Table 4

Falls associated with transient loss of consciousness

Modified from Bloem BR, Overeem S, van Dijk G. Syncopal falls, drop attacks and their mimics. In: Bronstein AM, Brandt T, Woollacott MH, et al, eds. Clinical disorders of balance, posture and gait. Arnold, London, 2004. (Reproduced in adapted form by permission of Edward Arnold (Publishers) Ltd.)
Syncope
• Reflex syncopeVasovagal syncope
Postprandial syncope
Situational faint
Carotid sinus syndrome
Cough syncope
• Orthostatic syncopeAutonomic failure:
• primary autonomic failure
• secondary autonomic failure (drugs, alcohol)
Hypovolaemia
• Cardiac or cardiopulmonary syncopeCardiac arrhythmias
Cardiac structural abnormalities (with obstruction of outflow)
Non-syncopal
• Epileptic seizures
• Metabolic disordersHypoxia
Hypoglycaemia
Hyperventilation
• Intoxications
• Cerebrovascular disorders
• Migraine
• Vascular—eg, subclavian steal syndrome (rare)