Stokes-Adams attacks (a.k.a. Stokes Adams syndrome) refers to syncopal episodes that occur from cardiac arrhythmia, most commonly bradycardia in the form of second degree type II AV block, complete heart block (Lev’s disease) or sick sinus syndrome. Seizures may or may not accompany these attacks. Treatment is permanent pacemaker implantation as no medical therapy exists to reverse the inherent cardiac conduction pathology.