Case Report Sitcom Syncope – A Case Report

Sitcom Syncope – A Case Report

Abstract

Syncope is one of the common presenting symptoms in neurology clinics and emergency
departments. Apart from the usual neurological and cardiovascular causes of syncope, there
are a few rare triggers that cause transient loss of consciousness like coughing, swallowing,
micturition, defecation, and laughing. These neurally mediated syncopes are labelled as
“Situational” syncope. We report a case of a 28-year-old male who presented with episodes of
dizziness, lightheadedness, and transient loss of consciousness mostly after excessive
laughter. He has had similar episodes of transient loss of consciousness and lightheadedness
after prolonged excessive laughing spells. This case is one of the very few described in
medical literature, most of which have similar presentations and findings on subsequent
investigations.