The diagnosis of neurocardiogenic syncope in the pediatric patient is increasing in frequency. The difficulty to diagnose in the pediatric group of age is greater because of their lack of communication skills to describe the symptoms or to identify them, and thus the reason why in many cases neurologic and cardiac studies are performed to discard other pathologies, before suspecting the diagnosis of vasdvagal syncope. A thorough physical exam and the use of adequate resources for diagnosis are key factors for appropriate treatment. This is based principally in general measures and depending on the results of the head up tilt test, pharmacological treatment can be administered, even though optimal treatment is still in universal discussion.