Kindly check my cousin's reports and advise if there is any abnormality.

Hello,

Welcome to icliniq.com. Kindly answer my questions as I would like to know some details of the problem. What was the patient doing while he had syncope? Was he simply standing or sitting on the commode or passing urine in the standing position? Did he felt anything wrong in his body before losing consciousness like the feeling of increased heartbeat or lightheadedness or sweating or blackening in front of eyes or something else or he fell without any awareness? Did he have any jerky movements of any limb or tongue bite or urinary incontinence? Is there any previous medical problem also? Is there a history of such kind of similar episode in the past? How long time that fever episode lasted? Is it persisting or subsided? The investigations to be done are 1. MRI brain. 2. EEG (electroencephalogram). 3. Holter monitoring. 4. 2D echocardiography.

Hello,

Welcome back to icliniq.com. As per your description, the likely cause for fall and loss of consciousness can be syncope, possibly micturition syncope. Such can happen in febrile illness. While passing urine, there is a slight increase in pressure inside the chest and less blood return from legs to heart and can lead to syncope. But, the loss of consciousness lasted for 15 minutes is odd. In syncope usually, loss of consciousness remain for less than 1 or 2 minutes. I suggest to rule out brain cause (seizure) by a few tests and keep in observation. If any new even happen, then will think that way. The investigations to be done are 1. Magnetic resonance imaging (MRI) brain with seizure protocol. 2. Electroencephalogram (EEG). 3. 24-hour Holter monitoring.