Stretch Syncope: A Rare Case Mimicking Seizure

Seizure, syncope, and psychogenic fainting may be considered when a patient presents with temporary loss of consciousness. Syncope is characterized by a temporary loss of consciousness and postural tone due to a lack of adequate cerebral blood perfusion. The most common cause of syncope in young subjects is a reflex syncopal event and in particular a vasovagal faint. Stretch syncope is a rare disorder that is clinically difficult to distinguish from seizure and may arise while stretching the neck hyperextended in an up-right standing position or sitting. The pathophysiology of stretch syncope is decreased cerebral blood flow caused by vertebrobasilar insufficiency or extrinsic compression of vertebral artery. We have reported this rarely seen stretch syncope case of a 7-year-old patient who presented with seizure. The aim of this case presentation is to increase awareness of stretch syncope that can easily be confused with epileptic seizure.