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December 14, 1912


Author Affiliations


JAMA. 1912;LIX(24):2145-2146. doi:10.1001/jama.1912.04270120130014

The Adams-Stokes syndrome consists essentially of three cardinal conditions: syncopal seizures with either complete or partial loss of consciousness, epileptiform or apoplectic convulsions and permanent bradycardia involving heart-block.

Usually the onset of an attack is preceded by certain auras in exactly the same way as is an epileptic attack. Vertigo is generally also present. These prodromal symptoms may be manifest as much as several days before the attack itself appears.

Stokes at first suggested the name of "pseudo-apoplexy." for this disease and laid special stress on the syncopal character of the seizures and the absence of paralysis. In the light of our present knowledge there must also be included the phenomenon of heart-block which is so prominent a feature of the condition: the blocking of the normal impulses traveling from the auricles to tlic