Abstract
Sudden loss of consciousness in children may be caused by either cardiac or neurologic dysfunction. Generalized seizure activity, breath-holding spells, and vasovagal syncope precipitated by a variety of factors frequently occur.1,2 The following case illustrates an unusual cause of repeated loss of consciousness in a child. CASE REPORT A 4-year-old white girl was in excellent health until 18 months of age when she first appeared to faint. During following 3 months, she was asymptomatic but then began having similar fainting episodes several times a day. For the next 2 years, the mother sought medical attention from pediatricians, cardiologists, neurologists, and otolaryngologists and began keeping detailed daily records of all spells.
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