Syncope in the Pediatric Patient: A Case Report

The diagnosis and management of a child presenting with acute loss of consciousness accompanied by involuntary motor activity poses a diagnostic challenge to pediatric primary care providers. Syncope accompanied by convulsions is often benign, but rarely it may reflect significant neurologic or cardiac pathologies. Recent studies have reported a rate of misdiagnosed epilepsy varying between 19% and 67%, with syncope being the most common problem misdiagnosed as epilepsy in children (Mariani, Mastrangelo, Iannetti, Papetti, & Ursitti, 2011).

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