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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Syncope, Blackness Of Vision. EEG Shows Spikes While Sleeping. What Does It Mean?

my 17 year old daughter has has a few episodes of sycope lately and blackness of vision . She is otherwise healthy and an athlete. We were advised to see a neurologist whohad her undergo an Bloodwork-clean, MRI- clean, EEG-some spikes while sleeping. He says she could be prone to seizures but not really What does that mean?
Thu, 21 Feb 2013
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Neurologist,  's  Response
Dear parent,

Thanks for your query
The problem that your daughter has is common complaint and answer lies in history and not in investigations. Thus first let us see what your daughter has. We may not conclude it as syncope and let us consider as a paroxysmal event
Now what all happens before during and after event is of prime importance. What are the preceding complaints and what is her motor status during the event. How long or short duration are the events and at what level of consciousness is she at time of event is very important

Now coming to investigations - EEG showing spikes is not epilepsy. The spikes in EEG could be a hereditary trait. There are lot of normal variants which could cause spikes

I think you she may also require a TILT TABLE TEST which if positive can clinch diagnosis
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Syncope, Blackness Of Vision. EEG Shows Spikes While Sleeping. What Does It Mean?

Dear parent, Thanks for your query The problem that your daughter has is common complaint and answer lies in history and not in investigations. Thus first let us see what your daughter has. We may not conclude it as syncope and let us consider as a paroxysmal event Now what all happens before during and after event is of prime importance. What are the preceding complaints and what is her motor status during the event. How long or short duration are the events and at what level of consciousness is she at time of event is very important Now coming to investigations - EEG showing spikes is not epilepsy. The spikes in EEG could be a hereditary trait. There are lot of normal variants which could cause spikes I think you she may also require a TILT TABLE TEST which if positive can clinch diagnosis