3 types of blackouts
causes of syncope
insufficient cerebral perfusion
- vasovagal
- neurologic
- cardiogenic
- micturition
causes of epilspesy
idiopathic
causes of NEAD
psychological distress
who does syncope affect
older px
CV morbidity
who does GTE epilepsy affect
all ages
who does NEAD affect
younger px with psych history and stress
when does syncope occur
with changes in posture and exertion
when does GTE epilspesy occur
due to alcohol, reduced sleep, meds
when does NEAD occur
increased stress + panic
pre sx of syncope
pale
clammy
autonomic sx
chest pain
pre sx of epilspsy
aura
deja vu
automatisation
pre sx of NEAD
panicked
unaware
abrupt
ictal sx of syncope
floppy
LOC
eyes closed
ictal sx of epilepsy
tonic clonic - rigid
fall to floor
symmetric limb jerking
eyes open
tongue biting
resolves in 5 mins
ictals x of NEAD
violent
assymerical limb jerking
sx come and go
eyes and mouth variable
> 5 min
post sx of syncope
immediate recovery
no amnesia
poxt sx of epilspesy
post ictal drowniness
around 30 mins
todd paralysis
confusion
post sx of NEAD
rapid emotional response
no amnesia