{"id":2484,"date":"2026-11-02T14:50:40","date_gmt":"2026-11-02T12:50:40","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=2484"},"modified":"2026-11-02T14:50:40","modified_gmt":"2026-11-02T12:50:40","slug":"lesinul-la-copii-si-adolescenti","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/lesinul-la-copii-si-adolescenti\/","title":{"rendered":"Le\u0219inul la copii \u0219i adolescen\u021bi"},"content":{"rendered":"\n<h2>Le\u0219inul la copii \u0219i adolescen\u021bi<\/h2>\n<p>Le\u0219inul (sincopa) este o pierdere brusc\u0103 \u0219i scurt\u0103 a con\u0219tien\u021bei \u0219i a posturii urmat\u0103 de o recuperare rapid\u0103 \u0219i complet\u0103. Este mai frecvent \u00een copil\u0103rie \u0219i adolescen\u021b\u0103 unde, \u00een majoritatea cazurilor, este asociat unor mecanisme reflexe \u0219i unor factori precum statul prelungit \u00een picioare, c\u0103ldura, deshidratarea, durerea sau stresul emo\u021bional. Cu toate acestea, unele episoade pot fi asociate unor afec\u021biuni cardiace sau neurologice \u0219i necesit\u0103 evaluare medical\u0103 [1].<\/p>\n<p>Contextul \u00een care apare, simptomele care \u00eel preced \u0219i modul \u00een care copilul \u00ee\u0219i revine pot oferi informa\u021bii importante despre cauza acestuia. Identificarea cauzei, recunoa\u0219terea semnelor de alarm\u0103 \u0219i stabilirea momentului \u00een care este necesar\u0103 evaluarea medical\u0103, inclusiv consultul unui neurolog pediatru, sunt esen\u021biale pentru o abordare corect\u0103 a episodului de le\u0219in.<\/p>\n<h2>Care sunt cele mai frecvente cauze ale le\u0219inului la copii \u0219i adolescen\u021bi?<\/h2>\n<p>Majoritatea episoadelor de le\u0219in la copii \u0219i adolescen\u021bi sunt de natur\u0103 reflex\u0103. Acestea apar datorit\u0103 sc\u0103derii temporare a <a href=\"https:\/\/roneuro.ro\/blog\/ce-este-hipertensiunea-arteriala\/\">tensiun<\/a><a href=\"https:\/\/roneuro.ro\/blog\/ce-este-hipertensiunea-arteriala\/\">ii<\/a><a href=\"https:\/\/roneuro.ro\/blog\/ce-este-hipertensiunea-arteriala\/\"> arterial<\/a>e \u0219i\/sau ritmului cardiac, put\u00e2nd avea una sau mai multe cauze.<\/p>\n<p>Cu toate acestea, orice episod de pierdere a con\u0219tien\u021bei trebuie considerat o urgen\u021b\u0103 medical\u0103 p\u00e2n\u0103 la identificarea cauzei [2], deoarece o parte din episoade pot fi corelate cu boli <a href=\"https:\/\/www.roneuro.ro\/specialitati\/cardiologie.html\">cardiace<\/a>, <a href=\"https:\/\/roneuro.ro\/blog\/principalele-tipuri-de-crize-epileptice\/\">crize epileptice<\/a> sau alte afec\u021biuni <a href=\"https:\/\/roneuro.ro\/blog\/category\/neurologie\/page\/14\/\">neurologice<\/a> [3].<\/p>\n<h3>Sincopa vasovagal\u0103<\/h3>\n<p>Este una dintre cele mai frecvente forme de sincop\u0103 la copii \u0219i adolescen\u021bi. Poate ap\u0103rea \u00een contextul unor factori precum c\u0103ldura, deshidratarea, statul prelungit \u00een picioare, durerea, frica sau stresul emotional [4]<strong>.<\/strong><\/p>\n<h3>Sincopa ortostatic\u0103<\/h3>\n<p>Poate ap\u0103rea la schimbarea pozi\u021biei corpului, \u00een special la ridicarea rapid\u0103 din pozi\u021bie culcat sau a\u0219ezat, c\u00e2nd poate ap\u0103rea o sc\u0103dere a tensiunii arteriale [5].<\/p>\n<h3>Sincopa situa\u021bional\u0103<\/h3>\n<p>Unele episoade sunt asociate unor situa\u021bii care stimuleaz\u0103 nervul vag, precum tusea sever\u0103, consumul excesiv de alimente sau defeca\u021bia dificil\u0103 [6].<\/p>\n<h3>Sincopa cardiovascular\u0103<\/h3>\n<p>Mai rar, le\u0219inul poate fi asociat unor probleme cardiace, inclusiv tulbur\u0103ri de ritm sau afec\u021biuni structurale ale inimii. Aceste cauze sunt importante deoarece unele episoade cardiace pot ap\u0103rea \u00een timpul efortului, \u00een pozi\u021bie culcat\u0103 sau pot fi \u00eenso\u021bite de palpita\u021bii ori durere \u00een piept [7].<\/p>\n<h3>Medicamente \u0219i alte cauze<\/h3>\n<p>Anumite medicamente pot favoriza sc\u0103derea tensiunii arteriale \u0219i apari\u021bia le\u0219inului. Alte situa\u021bii, precum anemia, hipoglicemia, dezechilibrele electrolitice sau expunerea la anumite substan\u021be, pot fi asociate mai rar cu pierderea temporar\u0103 a con\u0219tien\u021bei [8-10]. Alte cauze sunt mai pu\u021bin frecvente, dar importante clinic,precum expunerea la substan\u021be toxice [11,12].<\/p>\n<h3>Sincopa neurologic\u0103<\/h3>\n<p>Anumite afec\u021biuni precum accidental vascular cerebral pot afecta vasele de s\u00e2nge din creier \u0219i determina sincopa. Crizele epileptic pot fi de asemenea asociate cu le\u0219inul [13].<\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-2487\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-scaled.jpg\" alt=\"\" width=\"700\" height=\"267\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-300x114.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-1024x390.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-768x293.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-1536x586.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-2048x781.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-750x286.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/tipuri-de-sincope-1140x435.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p><span style=\"font-weight: 400;\">Dac\u0103 copilul dumneavoastr\u0103 se confrunt\u0103 cu st\u0103ri de le\u0219in, programa\u021bi-l acum la o consulta\u021bie\u00a0contact\u00e2nd recep\u021bia\u00a0<strong>Institutului RoNeuro<\/strong>\u00a0la num\u0103rul de telefon <\/span><b><a href=\"tel:+40374462222\">0374 46 2222<\/a><\/b><span style=\"font-weight: 400;\">, <strong>luni \u0219i mar\u021bi \u00eentre orele 08:00 &#8211; 19:00<\/strong>, iar de <strong>miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 &#8211; 18:00<\/strong>. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. <\/span><\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online neurologie<\/a><\/p>\n<p><span style=\"font-weight: 400;\">Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? Institutul RoNeuro ofer\u0103 \u0219i op\u021biunea de <\/span><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/p>\n<h2>Care sunt etapele de manifestare a unei sincope?<\/h2>\n<p>Sincopele cele mai frecvente (vasovagal\u0103, situa\u021bional\u0103 \u0219i ortostatic\u0103) se dezvolt\u0103 rapid \u0219i dureaz\u0103 c\u00e2teva minute. Acestea se manifest\u0103 \u00een urm\u0103toarele etape:<\/p>\n<ul>\n<li><strong>Presincop\u0103 <\/strong>(sl\u0103biciune sau oboseal\u0103 neobi\u0219nuit\u0103, ame\u021beal\u0103, grea\u021b\u0103, transpira\u021bie rece, paloare, vedere \u00eence\u021bo\u0219at\u0103, \u021biuituri \u00een urechi, senza\u021bie de c\u0103ldur\u0103, fotofobie, fonofobie etc) [14,15];<\/li>\n<li><strong>Pierderea tonusului postural \u0219i a con\u0219tien\u021bei <\/strong>(persoana \u00ee\u0219i pierde brusc capacitatea de a se men\u021bine \u00een picioare \u0219i \u00ee\u0219i pierde temporar con\u0219tien\u021ba).<\/li>\n<li><strong>Recuperare complet\u0103 <\/strong>con\u0219tien\u021ba revine spontan, iar orientarea \u0219i func\u021biile neurologice obi\u0219nuite se restabilesc rapid.<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-2488\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-scaled.jpg\" alt=\"\" width=\"700\" height=\"293\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-300x125.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-1024x428.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-768x321.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-1536x642.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-2048x856.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-750x314.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/etapele-sincope-1140x477.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<blockquote><p>Nu toate persoanele prezint\u0103 o faz\u0103 de presincop\u0103 evident\u0103; \u00een unele cazuri, pierderea con\u0219tien\u021bei poate ap\u0103rea brusc, f\u0103r\u0103 simptome de avertizare.<\/p><\/blockquote>\n<h2>Cum se stabile\u0219te cauza unui episod de le\u0219in la copii \u0219i adolescen\u021bi?<\/h2>\n<p>Evaluarea unui episod de le\u0219in la copil \u00eencepe cu istoricul detaliat al episodului \u0219i examinarea clinic\u0103. \u00cen func\u021bie de caracteristicile episodului \u0219i de rezultatele evalu\u0103rii ini\u021biale, copilul poate fi \u00eendrumat c\u0103tre cardiologie pediatric\u0103, neurologie sau alte specialit\u0103\u021bi.<\/p>\n<p>\u00cen cazul copiilor, p\u0103rin\u021bii sau cei apropia\u021bi sunt \u00eencuraja\u021bi s\u0103 noteze sau descrie tot ceea ce s-a \u00eent\u00e2mplat \u00eenainte, \u00een timpul \u0219i dup\u0103 episodul de le\u0219in, pe baza urm\u0103toarelor \u00eentreb\u0103ri [16-19]:<\/p>\n<ul>\n<li>Copilul a mai avut episoade anterioare?<\/li>\n<li>Episodul s-a produs \u00een timpul exerci\u021biilor fizice sau \u00een repaus?<\/li>\n<li>Copilul st\u0103tea \u00een picioare, a\u0219ezat la podea sau culcat?<\/li>\n<li>Ce a m\u00e2ncat copilul \u00eenainte de sincop\u0103?<\/li>\n<li>Copilul a fost hidratat corespunz\u0103tor?<\/li>\n<li>Au existat simptome de avertizare? (ame\u021beli, grea\u021b\u0103 sau stare de sl\u0103biciune muscular\u0103)<\/li>\n<li>Copilul a sesizat durere \u00een piept, senza\u021bie de b\u0103t\u0103i rapide sau neregulate ale inimii?<\/li>\n<li>C\u00e2t timp a durat starea de incon\u0219tien\u021b\u0103?<\/li>\n<li>A existat confuzie prelungit\u0103 ulterior?<\/li>\n<li>Exist\u0103 antecedente familiale de boli de inim\u0103 sau convulsii?<\/li>\n<\/ul>\n<p>De asemenea, este important ca specialistul s\u0103 fie informat despre medica\u021bia pe care o ia copilul (dac\u0103 este cazul) sau despre expunerea la substan\u021be cu poten\u021bial toxic sau psihoactiv.<\/p>\n<h2>Ce investiga\u021bii pot fi necesare?<\/h2>\n<p>\u00cen func\u021bie de constat\u0103rile aflate \u00een discu\u021bia dintre medic \u0219i pacient \u0219i\/sau p\u0103rintele copilului, medicii pot lua \u00een considerare urm\u0103toarele investiga\u021bii:<\/p>\n<table class=\"medical-table\">\n<thead>\n<tr>\n<th scope=\"col\">Tipul investiga\u021biei<\/th>\n<th scope=\"col\">Motivele recomand\u0103rii acesteia<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<th scope=\"row\">Electrocardiogram\u0103<\/th>\n<td>Tulbur\u0103ri de ritm sau anomalii cardiace [20].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Monitorizare Holter (ambulatorie)<\/th>\n<td><a href=\"https:\/\/roneuro.ro\/blog\/ce-sunt-palpitatiile\/\">Aritmii<\/a><br \/>\ncare apar cu intermiten\u021b\u0103 [21].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Ecocardiografie<\/th>\n<td>Suspiciuni de probleme<br \/>\n<a href=\"https:\/\/roneuro.ro\/blog\/simptomele-unui-atac-de-cord\/\">cardiace<\/a><br \/>\nstructurale [22].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Testul de efort<br \/>\n(<a href=\"https:\/\/roneuro.ro\/blog\/principalele-teste-cardiace\/\">electrocardiografia de efort<\/a>)<\/th>\n<td>Suspiciuni de ischemie cardiac\u0103 [23,24].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Testul \u00eenclinat (evaluarea reac\u021biei corpului la schimbarea pozi\u021biei)<\/th>\n<td>Dac\u0103 pacientul are deseori sincope posturale ortostatice [25].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Hemoleucogram\u0103 complet\u0103, profil lipidic, glicemie \u0219i alte m\u0103sur\u0103tori<\/th>\n<td>Dac\u0103 se suspecteaz\u0103 anemie, dezechilibre electrolitice,<br \/>\nhipoglicemie, deshidratare [26].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Examen psihologic \u0219i psihiatric<\/th>\n<td>Dac\u0103 istoricul pacientului indic\u0103<br \/>\n<a href=\"https:\/\/roneuro.ro\/blog\/ce-este-anxietatea\/\">anxietate<\/a><br \/>\nsever\u0103,<br \/>\n<a href=\"https:\/\/roneuro.ro\/blog\/atacurile-de-panica\/\">atacuri de panic\u0103<\/a>,<br \/>\nfrici intense,<br \/>\n<a href=\"https:\/\/roneuro.ro\/blog\/stresul-si-anxietatea\/\">stres<\/a>,<br \/>\netc. [27].<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\"><a href=\"https:\/\/roneuro.ro\/blog\/ce-este-un-eeg\/\">EEG<\/a><br \/>\nsau<br \/>\n<a href=\"https:\/\/roneuro.ro\/blog\/diagnosticarea-epilepsiei\/\">imagistic\u0103 cerebral\u0103<\/a><br \/>\n(CT, RMN)<\/th>\n<td>Dac\u0103 exist\u0103 \u00eengrijor\u0103ri reale legate de epilepsie sau alte<br \/>\n<a href=\"https:\/\/www.roneuro.ro\/specialitati\/neurologie.html\">tulbur\u0103ri neurologice<\/a><br \/>\n[28].<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Care sunt semnele de alarm\u0103 la un episod de le\u0219in la copii \u0219i adolescen\u021bi?<\/h2>\n<p>Semnele de alarm\u0103 [29-32] cele mai importante, dup\u0103 un episod de le\u0219in sunt eviden\u021biate prin faptul c\u0103:<\/p>\n<ul>\n<li>Le\u0219inul apare deseori \u00een timpul exerci\u021biilor fizice;<\/li>\n<li>Le\u0219inul se manifest\u0103 \u00een pozi\u021bie culcat\u0103;<\/li>\n<li>Nu exist\u0103 simptome de avertisment \u00eenainte de pierderea con\u0219tien\u021bei;<\/li>\n<li>Exist\u0103 simptome de avertisment precum durere \u00een piept, respira\u021bie dificil\u0103 sau palpita\u021bii;<\/li>\n<li>Investiga\u021bia EKG post eveniment prezint\u0103 anomalii;<\/li>\n<li>Se observ\u0103 leziuni pe corp \u00een urma episodului;<\/li>\n<li>Episoadele de le\u0219in devin tot mai frecvente.<\/li>\n<\/ul>\n<p>Este important de aflat dac\u0103 pacientul sufer\u0103 de boal\u0103 <a href=\"https:\/\/www.roneuro.ro\/specialitati\/cardiologie.html\">cardiac\u0103<\/a> congenital\u0103 sau dob\u00e2ndit\u0103 cunoscut\u0103 sau exist\u0103 antecedente familiale de moarte subit\u0103 sau <a href=\"https:\/\/roneuro.ro\/blog\/insuficienta-cardiaca\/\">aritmie<\/a> [33].<\/p>\n<h2>C\u00e2nd este necesar\u0103 interven\u021bia medical\u0103 de urgen\u021b\u0103?<\/h2>\n<p>Unele situa\u021bii ap\u0103rute \u00een timpul sau dup\u0103 un episod de le\u0219in reprezint\u0103 o urgen\u021b\u0103 medical\u0103 \u0219i necesit\u0103 apelarea imediat\u0103 a serviciilor medicale de urgen\u021b\u0103. Acest lucru este valabil \u00een special dac\u0103:<\/p>\n<ul>\n<li>Copilul nu \u00ee\u0219i recap\u0103t\u0103 con\u0219tien\u021ba sau nu poate fi trezit;<\/li>\n<li>Respira\u021bia este anormal\u0103, sau copilul prezint\u0103 colora\u021bie alb\u0103struie a buzelor;<\/li>\n<li>Copilul prezint\u0103 convulsii prelungite sau repetate;<\/li>\n<li>Le\u0219inul este \u00eenso\u021bit de durere toracic\u0103 sever\u0103 sau palpita\u021bii persistente;<\/li>\n<li>\u00cen urma c\u0103derii s-a produs un traumatism cranian;<\/li>\n<li>Starea copilului se agraveaz\u0103 dup\u0103 episod.<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-2486\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-scaled.jpg\" alt=\"\" width=\"700\" height=\"612\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-300x262.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-1024x896.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-768x672.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-1536x1343.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-2048x1791.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-750x656.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2026\/11\/urgenta-medicala-1140x997.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<blockquote><p>O sincop\u0103 poate fi <strong>convulsiv\u0103 <\/strong>[34] atunci c\u00e2nd sc\u0103derea prelungit\u0103 a fluxului sanguin cerebral produce uneori mi\u0219c\u0103ri scurte, asem\u0103n\u0103toare <a href=\"https:\/\/roneuro.ro\/blog\/prevenirea-si-gestionarea-epilepsiei\/\">crizelor epileptice<\/a>, dar acest fapt nu \u00eenseamn\u0103 obligatoriu epilepsie, deoarece <a href=\"https:\/\/roneuro.ro\/blog\/bolile-care-seamana-cu-epilepsia\/\">crizele epileptice<\/a> produc <a href=\"https:\/\/roneuro.ro\/blog\/diagnosticarea-epilepsiei\/\">convulsii ritmice<\/a> prelungite urmate de o revenire mult mai lent\u0103 la comportamentul normal.<\/p><\/blockquote>\n<h2>C\u00e2nd este indicat consultul la neurologul pediatru?<\/h2>\n<p>\u00cen cazul unui episod de le\u0219in care nu prezint\u0103 semnele de alarm\u0103 descrise anterior, nu este necesar consultul la neurologul pediatru. Cu toate acestea, evaluarea neurologic\u0103 [35] trebuie luat\u0103 \u00een considerare atunci c\u00e2nd, pe l\u00e2ng\u0103 <strong>semnele de alarm\u0103<\/strong> descrise anterior, pacientul prezint\u0103:<\/p>\n<ul>\n<li>Episoade recurente de le\u0219in a c\u0103ror cauz\u0103 r\u0103m\u00e2ne neclar\u0103;<\/li>\n<li>Confuzie prelungit\u0103 post-eveniment sau comportament neobi\u0219nuit;<\/li>\n<li>Mi\u0219c\u0103ri tonico-clonice prelungite sau evident ritmice care sugereaz\u0103 epilepsie;<\/li>\n<li>Simptome neurologice focale sau examen neurologic anormal;<\/li>\n<li>Episoadele de le\u0219in sunt corelate cu migren\u0103 sau afec\u021biuni neurologice [36] preexistente;<\/li>\n<\/ul>\n<blockquote><p>Incertitudinea diagnostic\u0103 poate s\u0103 apar\u0103, \u00een ciuda evalu\u0103rii cardiovasculare ini\u021biale deoarece diferen\u021ba dintre sincop\u0103 \u0219i convulsii [37] este uneori dificil\u0103. Din acest motiv se recomand\u0103 consultul la neurologul pediatru, pentru excluderea convulsiilor epileptice [38].<\/p><\/blockquote>\n<h2>Care sunt recomand\u0103rile pentru p\u0103rin\u021bi \u00een cazul le\u0219inului la copii \u0219i adolescen\u021bi?<\/h2>\n<p>Dac\u0103 apar simptome de avertizare, copilul trebuie \u00eencurajat s\u0103 se a\u0219eze sau s\u0103 se \u00eentind\u0103 imediat, pentru a preveni o c\u0103dere sau accidentare. \u00cen cazul episoadelor vasovagale necomplicate, hidratarea adecvat\u0103 \u0219i revenirea treptat\u0103 la activit\u0103\u021bile obi\u0219nuite pot contribui la reducerea riscului de recuren\u021b\u0103 [39,40].<\/p>\n<p>Pentru prevenirea sau diminuarea episoadelor de le\u0219in la copii, p\u0103rin\u021bii [41-44] trebuie s\u0103:<\/p>\n<ul>\n<li>Stimuleze aportul regulat de lichide;<\/li>\n<li>Evite statul copiilor \u00een picioare prea mult timp \u0219i c\u0103ldura excesiv\u0103;<\/li>\n<li>Asigure copiilor o alimenta\u021bie s\u0103n\u0103toas\u0103 echilibrat\u0103;<\/li>\n<li>\u00cenve\u021be copilul s\u0103 recunoasc\u0103 simptomele de avertizare;<\/li>\n<li>Noteze contextul \u0219i simptomele asociate fiec\u0103rui episod;<\/li>\n<li>Informeze medicul despre medicamente, boli \u0219i istoricul cardiac familial;<\/li>\n<li>Solicite sfatul medicului dac\u0103 episoadele se repet\u0103, devin mai frecvente sau \u00ee\u0219i schimb\u0103 caracteristicile.<\/li>\n<\/ul>\n<blockquote><p>P\u0103rin\u021bii nu trebuie s\u0103 presupun\u0103 c\u0103 fiecare le\u0219in este epilepsie, dar nici nu trebuie s\u0103 ignore un episod care con\u021bine semne de avertizare pentru boli cardiace sau neurologice [45].<\/p><\/blockquote>\n<h2>Concluzii<\/h2>\n<p>Le\u0219inul la copii \u0219i adolescen\u021bi este deseori benign, mai ales c\u00e2nd apare dup\u0103 stat \u00een picioare prelungit, c\u0103ldur\u0103, deshidratare, durere sau stres emo\u021bional \u0219i este precedat de simptome tipice de avertizare.<\/p>\n<p>Cu toate acestea, evaluarea trebuie s\u0103 disting\u0103 sincopa vasovagal\u0103 obi\u0219nuit\u0103 de cauzele cardiace poten\u021bial grave \u0219i de evenimentele neurologice, cum ar fi convulsiile.<\/p>\n<p>\u00cen acest sens, diagnosticul trebuie s\u0103 aibe la baz\u0103 istoricul medical, examen fizic, m\u0103sur\u0103tori ortostatice \u0219i ECG, plus investiga\u021bii suplimentare selectate \u00een func\u021bie de tabloul clinic individual.<\/p>\n<p>Consultarea unui neurolog pediatru este recomandat\u0103 atunci c\u00e2nd episodul de le\u0219in este atipic sau sugereaz\u0103 epilepsie. Dac\u0103 se suspecteaz\u0103 o boal\u0103 cardiac\u0103, atunci este recomandat\u0103 evaluarea pediatric\u0103\/cardiologic\u0103.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li>Grossman SA, Badireddy M. Syncope. [Updated 2025 Jun 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available at: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK442006\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK442006\/<\/a><\/li>\n<li>M\u00fcller MJ, Paul T. Synkopen bei Kindern und Jugendlichen [Syncope in children and adolescents]. Herzschrittmacherther Elektrophysiol. 2018;29(2):204-207. doi:10.1007\/s00399-018-0562-2. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29761336\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/29761336\/<\/a><\/li>\n<li>Werdan K. The investigation of syncope: strengths and weaknesses of emergency medicine. Dtsch Arztebl Int. 2012;109(4):56-57. doi:10.3238\/arztebl.2012.0056. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3278748\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3278748\/<\/a><\/li>\n<li>Longo S, Legramante JM, Rizza S, Federici M. Vasovagal syncope: An overview of pathophysiological mechanisms. Eur J Intern Med. 2023;112:6-14. doi:10.1016\/j.ejim.2023.03.025. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37030995\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37030995\/<\/a><\/li>\n<li>Momodu II, Okafor CN. Orthostatic Syncope (Archived). In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 3, 2023. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30725970\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30725970\/<\/a><\/li>\n<li>Zou R, Wang S, Lin P, et al. 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Fainting with Anemia: How It Happens and What You Can Do About It. 2026, Liv Hospital. Available at: <a href=\"https:\/\/int.livhospital.com\/fainting-with-anemia\/\" target=\"_blank\" rel=\"noopener\">https:\/\/int.livhospital.com\/fainting-with-anemia\/<\/a><\/li>\n<li>Wester M, Bergmann T, M\u00fcller-Schilling M, Maier LS, Sossalla ST. Transient hypoglycemia as a rare cause of recurring transient loss of consciousness: a case report. J Med Case Rep. 2021;15(1):261. Published 2021 May 6. doi:10.1186\/s13256-021-02844-z. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33952305\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33952305\/<\/a><\/li>\n<li>Nair P, Robertson A, Macwalter R. An unusual cause of syncope. BMJ Case Rep. 2009;2009:bcr09.2009.2282. doi:10.1136\/bcr.09.2009.2282. 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Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25332499\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25332499\/<\/a><\/li>\n<li>Batra AS, Balaji S. Management of syncope in pediatric patients. Curr Treat Options Cardiovasc Med. 2005;7(5):391-398. doi:10.1007\/s11936-005-0023-1. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16138958\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/16138958\/<\/a><\/li>\n<li>The Royal Children\u2019s Hospital, Melbourne. Clinical Practice Guidelines &#8211; Syncope. Available at: <a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Syncope\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Syncope\/<\/a><\/li>\n<li>The Johns Hopkins University. What can I do to prevent my child from passing out?. Available at: <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/syncope-in-children\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/syncope-in-children<\/a><\/li>\n<li>Kingston and Richmond NHS Foundation Trust. Syncope (fainting) in children and young people. Available at: <a href=\"https:\/\/www.kingstonandrichmond.nhs.uk\/patients-and-families\/patient-leaflets\/syncope-fainting-children-and-young-people\" target=\"_blank\" rel=\"noopener\">https:\/\/www.kingstonandrichmond.nhs.uk\/patients-and-families\/patient-leaflets\/syncope-fainting-children-and-young-people<\/a><\/li>\n<li>Suresh K. Managing Pediatric Syncope in Primary Healthcare Settings. Open J Pediatr Child Health. 2025; 10(1): 1-6. doi: 10.17352\/ojpch.000059. Available at: <a href=\"https:\/\/www.healthdisgroup.us\/articles\/OJPCH-10-159.php\" target=\"_blank\" rel=\"noopener\">https:\/\/www.healthdisgroup.us\/articles\/OJPCH-10-159.php<\/a><\/li>\n<li>Epilepsy Foundation. Conditions Confused with Epilepsy &#8211; Other Forms Of Fainting. Available at: <a href=\"https:\/\/www.epilepsy.com\/parents-and-caregivers\/talking-kids-about-epilepsy\/conditions-confused-epilepsy\" target=\"_blank\" rel=\"noopener\">https:\/\/www.epilepsy.com\/parents-and-caregivers\/talking-kids-about-epilepsy\/conditions-confused-epilepsy<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Le\u0219inul la copii \u0219i adolescen\u021bi Le\u0219inul (sincopa) este o pierdere brusc\u0103 \u0219i scurt\u0103 a con\u0219tien\u021bei \u0219i a posturii urmat\u0103 de o recuperare rapid\u0103 \u0219i complet\u0103. Este mai frecvent \u00een copil\u0103rie \u0219i adolescen\u021b\u0103 unde, \u00een majoritatea cazurilor, este asociat unor mecanisme reflexe \u0219i unor factori precum statul prelungit \u00een picioare, c\u0103ldura, deshidratarea, durerea sau stresul emo\u021bional. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2493,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"subtitle":"","format":"standard","override":[{"template":"6","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_popup_post":"1","show_comment_section":"1","number_popup_post":"3","show_post_related":"1","show_inline_post_related":"0"}],"image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0"},"jnews_primary_category":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6],"tags":[],"class_list":["post-2484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/2484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=2484"}],"version-history":[{"count":4,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/2484\/revisions"}],"predecessor-version":[{"id":2492,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/2484\/revisions\/2492"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/2493"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=2484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=2484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=2484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}