Abstract
We read the report "Hair-Grooming Syncope Seizures" by our colleagues Drs Lewis and Frank (Pediatrics. 1993;91:836-838), and waxed nostalgic regarding a cluster of similar cases which we aptly named "hair burning syncope." During an 18-month period in the late 1980s, several girls came to our outpatient clinic and emergency departments with generalized seizure activity following or in the midst of hair grooming using a hot curling (or uncurling) iron. After the first few cases, a clear pattern emerged: the patients were all black girls, aged 8 to 14 years; hair-grooming with a hot iron and various hair "gels" was always involved; the patient was seated or standing, with the groomer behind the patient; the parent was not directly supervising the activity; seizures were generalized, brief, and associated with brief postictal confusion.
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