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Engel has brought up to date his monograph on fainting in a most satisfactory manner. While this symptom is common and well known to the laity and to physicians, it is very hard to define in clinical terms accurate enough to include all "faints" and exclude all "fits." Engel recognizes this dilemma; he discusses fainting so well that the reader understands fainting even if he can't define it. Problems of definition are not unknown in neurology; epilepsy is also difficult to define in clinical terms.
Engel's classification of syncope is a clinical one, and five major groups are described: (1)
Fainting. Physiological and Psychological Considerations. 2d Ed.. Ann Intern Med. ;56:1001. doi: 10.7326/0003-4819-56-6-1001_1
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Published: Ann Intern Med. 1962;56(6):1001.
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