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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed As Syncope Neurocardiogenico. Can This Be Controlled Or Cured?

I fainted two days ago in the middle of the night in a hotel all by myself , I hurt my self badly, big cut in my forehead as well as several incisions in the back of my head. I was completely out for about 2 to 3 hours until I finally came back. This is not the first time I faint, but it is the first I really hurt myself plus I was alone. I was diagnosed in mexico city in a hospital by a neurosergeon as having had a "Sincope Neurocardiogenico" do not know how to translate that into english. How serious is this? Can this be cured or at least controlled? I travel a lot by myself for working reasons, I am 53, and I need to travel, needless to say I am very scared this may happen again!!
Thu, 20 Jun 2013
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General & Family Physician,  's  Response
Welcome to HCM.Syncope is a transient loss of consciousness(LOC) for a few minutes ,loss of consciousness for 2-3 hours does not appear to be due to syncope.It would be prudent to rule out any cardiac arrhythmias by getting a 24 hour Holter testing(Mobile ECG) to rule out any bradyarrhythmias or abnormalitiies of rhythm and rate.A EEG,other causes of LOC need to be looked for ,this includes seizures,TIA and other cause.Syncope needs to be checked for causes of orthostatic hypotension like drug induced/primary autonomic failure like in parkinson's disease/secondary autonomic failure like in Diabetes/volume depletion.Other causes of syncope like micturition /sneezing /neurogenic/vasovagal or carotid sinus syncope needs to be looked for.It would help getting a thorough neurological,cardiac and medical check up done to establish thew cause of such symptoms.
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Diagnosed As Syncope Neurocardiogenico. Can This Be Controlled Or Cured?

Welcome to HCM.Syncope is a transient loss of consciousness(LOC) for a few minutes ,loss of consciousness for 2-3 hours does not appear to be due to syncope.It would be prudent to rule out any cardiac arrhythmias by getting a 24 hour Holter testing(Mobile ECG) to rule out any bradyarrhythmias or abnormalitiies of rhythm and rate.A EEG,other causes of LOC need to be looked for ,this includes seizures,TIA and other cause.Syncope needs to be checked for causes of orthostatic hypotension like drug induced/primary autonomic failure like in parkinson s disease/secondary autonomic failure like in Diabetes/volume depletion.Other causes of syncope like micturition /sneezing /neurogenic/vasovagal or carotid sinus syncope needs to be looked for.It would help getting a thorough neurological,cardiac and medical check up done to establish thew cause of such symptoms.