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ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.3 pp.107-113
DOI :

실신을 주소로 방문한 소아 환자의 원인질환에 대한 임상적 고찰

류미선, 이재희, 김은영, 노영일, 양은석, 문경래, 박영봉*
조선대학교 의학전문대학원 소아청소년과학교실

Clinical Analysis of Pediatric Patients with Syncope

Yeong Bong Park*, Mi Sun Ryu, Jae Hee Lee, Eun Young Kim, Young Il Rho, Eun Seok Yang, Kyoung Rae Moon
Department of Pediatrics, College of Medicine, Chosun University
(Received June 17, 2013; Accepted September 16, 2013)

Abstract

Syncope is a common symptom, with 15% to 25% of children and adolescents experiencing at least one syncopal episode byyoung adulthood. In most cases, syncope is a symptom of benign diseases however may be a symptom of severe cardiacdisease that results in sudden death. The purpose of this study is to analyze the etiologies and clinical characteristics of syncopein children and adolescents. We retroprospectively analyzed 51 patients with syncope. A total of 51 patients were includedin the study and the ratio of males to female was 1: 1.04. The mean patient age was 12.7±3.1 years. Abrupt standingwas the most common state of patients with syncopal attack. The etiologies of syncope were noncardiac syncope (60.7%),cardiac syncope (2%), neuropsychiatric syncope (25.5%), and unknown (11.8%). Abnormality of the head-up tilt test wasmore common in noncardiac syncope than the others [38.7% (12/31) vs 5% (1/20) (p=0.007)]. Further, EEG is a useful diagnostictest for neuropychiatric syncope [41.6% (5/12) vs 2.7% (1/36) (p=0.002)]. Therefore, detailed history taking and physicalexaminations were useful tools to diagnose the etiology of sycope. The head-up tilt test is an effective diagnostic test innoncardiac syncope and EEG is a valuable test in neuropychiatric syncope, especially in seizure.

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