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Europace Advance Access published online on June 11, 2007
Europace, doi:10.1093/europace/eum095
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CASE REPORT

A case of nocturnal fainting: supine vasovagal syncope

V.K. Marrison1 and S.W. Parry1,2,*

1 Falls and Syncope Service, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne NE1 4LP, UK; 2 Institute for Ageing and Health, University of Newcastle upon Tyne, Newcastle General Hospital, Westgate Road, Newcastle Upon Tyne NE4 6BE, UK

Supine loss of consciousness is a relatively rare occurrence prompting investigations for underlying causes as diverse as cardiac arrhythmia, hypoglycaemia and nocturnal epilepsy. Neurally mediated syncope is rarely implicated as the cause of symptoms in supine loss of consciousness because of the absence of orthostatic stress and gravitational relative preservation of cerebral perfusion, but we report here on a case of recurrent, atypical and troublesome vasovagal syncope occurring at night while supine. Diagnosis aided by head-up tilt table testing and conservative management brought about complete resolution of symptoms.

Key Words: Vasovagal syncope, Neurally mediated syncope, Supine, Sleep

* Corresponding author. Tel: +44 191 2825237; fax: +44 191 2231249. E-mail address: swparry{at}hotmail.com

Manuscript submitted 29 September 2006. Accepted after revision 17 April 2007.


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