Neurol India Home 

Year : 2020  |  Volume : 68  |  Issue : 4  |  Page : 943--944

Syncope Versus Seizure: The Google Rematch

Jamir Pitton Rissardo, Ana Letícia Fornari Caprara 
 Department of Neurology, Department of Medicine, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil

Correspondence Address:
Dr. Jamir Pitton Rissardo
Rua Roraima, Santa Maria, Rio Grande do Sul

How to cite this article:
Rissardo JP, Fornari Caprara AL. Syncope Versus Seizure: The Google Rematch.Neurol India 2020;68:943-944

How to cite this URL:
Rissardo JP, Fornari Caprara AL. Syncope Versus Seizure: The Google Rematch. Neurol India [serial online] 2020 [cited 2020 Nov 29 ];68:943-944
Available from:

Full Text


In 2013, Brigo and Ausserer published the article entitled “A Google fight between seizure and syncope” on “Seizure.” They describe what is Google fight and compare the number of search results in Google for the terms related to epilepsy and syncope.[1]

In this letter, our objective is found the results of the searches number in Google at 2019 and compare them with those found in 2013. A table is provided comparing the number of searches in the two dates [Table 1].[1] To evaluate how often people search the Google to look for online information related to epilepsy and syncope, we entered the set of key-words “seizure,” “syncope,” “faint,” and “fainting” at the “Google fight” main page (available at, accessed 11/17/19). As shown in [Table 1], we can note some interesting facts. First, the increase of searches from thousand to millions, which could be explained by the dissemination of technology and availability of internet. Second, the passing of seizure content in the first place with the biggest number of results on Google. In addition, it is noted that the increase in syncope results was much lower than the fainting or faint.{Table 1}

After these results, we investigated the online behavior of people visiting Google about those terms to have a comprehensible evaluation throughout the time. To evaluate the behavior, we used Google Trends selecting worldwide from January 2004 to November 2019 [Figure 1]; we entered the set of keywords “seizure,” “syncope,” “faint,” and “fainting” at the “Google Trends” main page (available at, accessed 11/17/19).{Figure 1}

The Google Trends numbers represent the search interest relative to the highest point on the chart for the given region and time, where higher values are associated with higher popularity of the term.[2] We can observe in [Figure 1] that epilepsy and seizure are the most searched terms and that since the publication of 2013, occurred a significant increase in the number of searches. Otherwise, in the same period, the searches about syncope-related terms remained stable.

These finds are important and show a change and increase in searching behavior from cardiological to neurological diseases. In this context, it is worthy of mentioning that the lifetime cumulative incidence of syncope is 30%–40%,[3] but the seizure incidence is only 4% in the general population.[4] Moreover, epilepsy is even much less common with an age-adjusted incidence of 44 per 100,000 person-years.[4]

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.


1Brigo F, Ausserer H. A Google fight between seizure and syncope. Seizure 2014;23:86.
2Brigo F, Otte WM, Igwe SC, Ausserer H, Nardone R, Tezzon F, et al. Information-seeking behaviour for epilepsy: An infodemiological study of searches for Wikipedia articles. Epileptic Disorders 2015;17:460-6.
3Ganzeboom KS, Mairuhu G, Reitsma JB, Linzer M, Wieling W, van Dijk N. Lifetime cumulative incidence of syncope in the general population: A study of 549 Dutch subjects aged 35-60 years. J Cardiovasc Electrophysiol 2006;17:1172-6.
4Hauser WA, Annegers JF, Kurland LT. Incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935-1984. Epilepsia 1993;34:453-68.