Do not perform computed tomography (CT) or nuclear magnetic resonance imaging (MRI) of the brain to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and have normal neurological examination. Adapted from the American College of Physicians
In patients who have experienced a witnessed loss of consciousness, without the suspicion of seizure and in the absence of other neurological signs or symptoms, the probability that central nervous system damage is the cause is very low and imaging of the brain does...
Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.
A vertebrobasilar TIA (transient ischemic attack) can cause loss of consciousness, but it is always accompanied by neurological signs such as motor or sensory loss in the face and / or limbs, coordination impairment, homonymous lateral hemianopia, balance and gait...
Do not perform an electroencephalogram (EEG) to patients who have experienced only transient loss of consciousness and have normal neurological examination and no history of epileptic symptoms.
In this context, it is extremely unlikely that the EEG will add elements to the clinical and anamnestic evaluation. The EEG, on the other hand, is indicated if the following signs / symptoms suggestive of an epileptic seizure have been observed: bite of the tongue,...
In the clinical evaluation of the patient who has presented a transient loss of consciousness, do not leave out the measurement of blood pressure in the supine and standing position (horizontal and upright position) in order to exclude a condition of persistent orthostatic hypotension.
Orthostatic hypotension is defined as a reduction in systolic pressure higher than 20 mm Hg or in diastolic pressure higher than 10 mm Hg compared to supine (horizontal position) after 3 minutes of standing (standing position) This condition is not always poorly...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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