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In cases whencerebral hypoperfusion develops less rapidly, patientsmay recall more features of their fainting spell and,accordingly, preserve memories of the event (van Dijket al., 2009; Wieling et al., 2009).

The consensus criteria developed by theNational Institute of Neurological and Communica-tive Disorders and Stroke and Alzheimer’s Diseaseand Related Disorders Association (NINCDS-ADRDA)(McKhann et al., 1984) were originally developed in1984 and have defined diagnosis of this illness (par-ticularly for research purposes) without revision until2011. Of note, it has recently been shown that bone culture and histopathologicalexamination have the same value for diagnosing DFO.

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