Özet:

Objective: The aim of this study is to examine the etiology, clinical features and laboratory parameters of patients who applied to the pediatric neurology outpatient clinic with syncope. Methods: 107 patients with syncope admitted to the pediatric neurology outpatient clinic of a tertiary education and research hospital between October 2017 and June 2019 were included in the study. Results: A total of 107 patients, 62 (57.9%) female and 45 (42.1%) males were included in the study. The mean age was 10.54±4.88 years (1-18 years). The mean number of syncope attacks was 2.79±1.09 (1-4). The number of patients who had 3 or more syncopes was higher (57%). There were prodromal symptoms in 45 (42.1%) cases and post syncope findings in 32 (30.2%) cases. Prodromal symptoms are evaluated in order of frequency motor findings (n=32, 30%), urinary incontinence-motor findings (n=8, 7.5%) and urinary incontinence (n=5, 4.6%). Electrocardiography was pathology in six (5.6%) cases, cranial imaging abnormality was found in nine (8.4%) cases, and epileptiform abnormality was found in the electroencephalography of 21 (19.6%) cases. The three most common causes in the etiology of syncope are vasovagal causes (n=50, 46.7%), psychogenic causes (n=25, 23.4%) and epilepsy (n=21, 19.6%). Conclusion: The diversity of the etiology of syncope is known. It has been found that recurrent syncope attacks are at the forefront in pediatric neurology outpatient clinic applications, and epilepsy in the etiology of syncope is high compared to the literature.

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