Psychogenic pseudosyncope (PPS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Psychogenic pseudosyncope (PPS). This is an apparent loss of consciousness (LOC). Fully referenced neurology checklist.

Definition

  • This is an apparent loss of consciousness (LOC)
  • There is no associated impaired cerebral perfusion or function 
  • It accounts for 20-30% of tertiary syncope referrals

Prodromal features

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Ictal features

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Post-ictal features

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Tilt table features

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Treatment

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References

  1. Blad H, Lamberts RJ, van Dijk GJ, Thijs RD. Tilt-induced vasovagal syncope and psychogenic pseudosyncope: overlapping clinical entities. Neurology 2015; 85:2006-2010.
  2. Tannemaat MR, van Niekerk J, Reijntjes RH, Thijs RD, Sutton R, van Dijk JG. The semiology of tilt-induced psychogenic pseudosyncope. Neurology 2013; 81:752-758. 
  3. Tannemaat MR, Thijs RD, van Dijk JG. Managing psychogenic pseudosyncope: facts and experiences. Cardiol J 2014; 21:658-664.
  4. Alciati A, Shiffer D, Dipaola F, Barbic F, Furlan R. Psychogenic pseudosyncope: clinical features, diagnosis and management. J Atr Fibrillation 2020; 13:2399.

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