Syncope Specialists

The Metropolitan Neurosurgery Group -  - Neurosurgery

The Metropolitan Neurosurgery Group

Neurosurgery located in Silver Spring, MD

If you’re experiencing occasional, unexplained episodes of fainting, you may have syncope. At The Metropolitan Neurosurgery Group in Silver Spring, Maryland, the neurosurgeons offer comprehensive diagnostic services to identify the root cause of syncope. They also provide customized treatment plans to reduce the frequency of your fainting episodes to protect you from fall-related injuries. To schedule a syncope consultation, call The Metropolitan Neurosurgery Group today.

Syncope Q & A

What is Syncope?

Syncope is a sudden loss of consciousness (fainting) due to a lack of proper blood flow to the brain. The condition isn’t a disease but rather a symptom of an underlying cause.

The most common causes of syncope events relating to underlying neurological conditions include seizures and stroke.

Other conditions that can increase your risk for syncope include:

  • Hunger
  • Dehydration
  • Heart issues
  • Emotional stress
  • Use of alcohol or drugs


You can also develop syncope due to orthostatic hypertension, a condition that involves a sudden drop in blood pressure when you stand up or change position. Gravity causes your blood to flow downward. Due to dysfunction in your heart and autonomic nervous system, your body is unable to stabilize your blood pressure.

What are the Symptoms of Syncope?

Many people with syncope can feel an episode coming on before losing consciousness and experience symptoms like:

  • Headache
  • Dizziness
  • Drowsiness
  • Lightheadedness
  • Heart palpitations or fluttering
  • Unsteadiness when walking


You may also experience changes in your vision, such as developing tunnel vision or seeing spots before passing out.

Any of these symptoms can be a sign of a more serious underlying health issue, and you should schedule a consultation at The Metropolitan Neurosurgery Group as soon as possible.

How is Syncope Diagnosed?

There are a variety of tests you may need to determine the root cause of syncope and to rule out more serious health issues. Your provider at The Metropolitan Neurosurgery Group starts with a review of your personal and family medical history and a comprehensive neurological exam.

A standard test to understand syncope is a tilt table test. This involves lying on an exam table that tilts at different angles while your provider monitors your heart rate and blood pressure with each change.

You may also need other diagnostic tests, such as:

  • Echocardiogram
  • Electrocardiogram
  • Magnetic resonance imaging (MRI) scan


Once your provider determines the root cause of your syncope, they customize a treatment plan to reduce the frequency of your fainting episodes.

How is Syncope Treated?

The focus of treatment in addressing syncope is lifestyle changes you need to make to keep your blood pressure stable. This may include:

  • Staying hydrating
  • Adding more salt to your diet
  • Using caution when standing up


Your provider at The Metropolitan Neurosurgery Group may also recommend wearing compression stockings to improve blood circulation and taking medications to support healthy blood pressure. They can also work with you protecting yourself and preventing serious injuries from a fainting-related fall.

If you have periodic episodes of unexplained fainting, schedule an evaluation wity The Metropolitan Neurosurgery Group.