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What causes syncope?

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Posted on Mon, 1 Jun 2015
Question: On Wednesday night, I experienced syncope. Sitting at my desk in the office. Felt weird at first and then warmth. Next thing I was on floor with a lump on the back of head where head hit chair. Was unable to move for a few minutes. Later discovered, I urinated.. Have had headache since.
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Answered by Dr. Muhammad Sareer Khalil (37 minutes later)
Brief Answer:
CT scan to rule out any serious brain injury

Detailed Answer:
Hello and Welcome

I appreciate your concern

Syncope warrants a cardiac workup though a neurological assessment would also be required due to the history of head trauma and urinary incontinence on regaining consciousness.

Based on your history, it appears to be a concussion and a CT scan should be done in consult with your doctor to rule out any serious brain injury. The CT should have been decided upon as soon as you got injured. However if it was deferred you should go to an E.R for further assessment. If there are no signs and symptoms of elevated intracranial pressure then pain medication can be adjusted accordingly to give adequate relief. The post concussion phase can last up to three weeks including symptoms like urinary incontinence before resolution of symptoms so if the CT is clear then you can relax. If the incontinence persists after 3 weeks or if the episodes are associated with violent jerky movements , tongue bite etc then seizure workup should be considered as seizures can occur secondary to traumatic brain injuries. EEG and Anti seizure medications etc would be decided upon after consulting your doctor.

Transient drop in blood pressure occurring when one stands up from a seated or lying position (orthostatic hypotension) is a common cause of an isolated episode with rapid recovery upon normalization of blood flow. Hypoglycemia and electrolyte imbalance should be worked up. History of any sedatives or other medications related to the syncope should also be looked for. Blood pressure and metabolic profile including Blood sugar and electrolytes needs to be checked.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Muhammad Sareer Khalil (44 minutes later)
Thank you for your thought. I will be heading to the dr tomorrow.
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Answered by Dr. Muhammad Sareer Khalil (6 minutes later)
Brief Answer:
Most welcome

Detailed Answer:
You are most welcome.

Hope I have answered your query.

If you have any further questions I will be happy to help If you do not have any clarifications, you can close the discussion and rate the answer.

Wish you good health.

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2919 Questions

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What causes syncope?

Brief Answer: CT scan to rule out any serious brain injury Detailed Answer: Hello and Welcome I appreciate your concern Syncope warrants a cardiac workup though a neurological assessment would also be required due to the history of head trauma and urinary incontinence on regaining consciousness. Based on your history, it appears to be a concussion and a CT scan should be done in consult with your doctor to rule out any serious brain injury. The CT should have been decided upon as soon as you got injured. However if it was deferred you should go to an E.R for further assessment. If there are no signs and symptoms of elevated intracranial pressure then pain medication can be adjusted accordingly to give adequate relief. The post concussion phase can last up to three weeks including symptoms like urinary incontinence before resolution of symptoms so if the CT is clear then you can relax. If the incontinence persists after 3 weeks or if the episodes are associated with violent jerky movements , tongue bite etc then seizure workup should be considered as seizures can occur secondary to traumatic brain injuries. EEG and Anti seizure medications etc would be decided upon after consulting your doctor. Transient drop in blood pressure occurring when one stands up from a seated or lying position (orthostatic hypotension) is a common cause of an isolated episode with rapid recovery upon normalization of blood flow. Hypoglycemia and electrolyte imbalance should be worked up. History of any sedatives or other medications related to the syncope should also be looked for. Blood pressure and metabolic profile including Blood sugar and electrolytes needs to be checked. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil