Cardiology Department, Samara Regional Cardiology Center, 43 Aerodromnaja St., Samara, Russia.
Cardiol J. 2010;17(4):420-7.
Global cerebral hypoperfusion resulting in syncope, and asynchronous discharge of cerebral neurons leading to seizure, are two major mechanisms of transient loss of consciousness. They both have a lot in common in clinical and historical settings, although with a high prevalence of incorrect diagnosis, even by well-trained staff. The aim of this review was to try to combine data from both a cardiologist's and a neurologist's perspective (history taking, special questionnaires, serum prolactin, EEG, CT/MRI, tilt-testing, loop recorders).
全球脑灌注不足导致晕厥，以及脑神经元异步放电导致癫痫发作，是导致短暂意识丧失的两个主要机制。尽管由训练有素的医务人员进行诊断，也会出现大量误诊，但它们在临床和历史背景下有很多共同之处。本综述的目的是尝试结合心脏病专家和神经科医生的观点（病史、特殊问卷、血清催乳素、脑电图、CT/MRI、倾斜试验、环路记录器）来综合这些数据。
