The AAO Journal, 2004/12, 14(4):20-23, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://www.academyofosteopathy.org/aaoj)

Keywords:

autonomic nervous system [154]
blood flow [34]
case report [736]
female [655]
neurocardiogenic syncope [1]
neurocardiology [1]
OMT [3925]
osteopathic manipulative treatment [3946]
women [608]

Abstract:

Unexplained intermittent neurocardiogenic syncope in a 24-year-old patient, managed, but unresolved by chemical treatment, is treated osteopathically and resolved. Description of this case and a brief discussion of questions raised addresses a deficit in the osteopathic literature. Neurocardiogenic syncope is a condition in which cerebral metabolism is temporarily impaired by a reflex reduction in blood pressure causing a decrease in cerebral blood flow and loss of consciousness.1 Recent investigations show this to be a broad spectrum of autonomic disorders variously triggered, all manifesting with syncope, hypotension, and orthostatic intolerance.2 In cases of unexplained syncope, this diagnosis is made with a positive tilt-table test.3 It is known that neurogenic syncope involves interplay between an imbalanced autonomic nervous system and cardiovascular regulation.4 What is still unclear, is the exact mechanism causing this disorder.