{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T03:23:55Z","timestamp":1761017035512,"version":"3.40.4"},"reference-count":2,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Convulsive syncopes may be particularly difficult to differentiate from epileptic seizures. Recurrent syncopes are caused by autonomic or non-autonomic failure. In this report, we present a 22-year-old woman who was misdiagnosed as epileptic and whose first symptoms during neurocardiogenic syncope occurred prior to asystole. The patient sensed her aura and reached for the alarm button 2\u2005s before a cardiac asystole was documented in the ECG. We conclude that so far unspecified autonomic mechanisms play a significant role in our patient leading to the symptoms of dizziness and nausea heralding her attacks prior to the occurrence of asystole.<\/jats:p>","DOI":"10.1136\/bcr-2013-010347","type":"journal-article","created":{"date-parts":[[2013,8,9]],"date-time":"2013-08-09T13:08:20Z","timestamp":1376053700000},"page":"bcr2013010347","source":"Crossref","is-referenced-by-count":1,"title":["Syncope: there is more than haemodynamic failure"],"prefix":"10.1136","volume":"2013","author":[{"given":"Anna Mira","family":"Loesch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Becker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soheyl","family":"Noachtar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,8,9]]},"reference":[{"key":"2025042709021449000_2013.aug09_1.bcr2013010347.1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s10286-004-1007-z","article-title":"Role of autonomic evaluation in the diagnosis and management of syncope","volume":"2013","author":"Mathias","year":"2004","journal-title":"Clin Auton Res"},{"key":"2025042709021449000_2013.aug09_1.bcr2013010347.2","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00004691-199705000-00003","article-title":"Neurally mediated syncope and syncope due to autonomic failure: differences and similarities","volume":"2013","author":"Kaufmann","year":"1997","journal-title":"J Clin Neurophysiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010347","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:02:23Z","timestamp":1745769743000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,9]]},"references-count":2,"alternative-id":["10.1136\/bcr-2013-010347"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010347","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,8,9]]}}}