Motor syncope refers to syncope induced by strenuous exercise. When the patient has a sudden loss of consciousness after strenuous exercise, he or she may have no clear memory of the seizure, may have blackness and dizziness before the seizure, and the seizure lasts about 1-2 minutes, and wakes up without abnormalities. This syncope is caused by transient whole brain ischemia and may be related to heart disease and autonomic dysfunction. The presence of this condition requires the improvement of electrocardiogram, 24-hour ambulatory electrocardiogram, cardiac enzyme profile, and blood pressure in the standing position, which can help confirm the diagnosis if abnormalities are found. After the diagnosis is confirmed, the patient should avoid excessive strenuous exercise to prevent re-induced syncope. In case of recurrent episodes, treatment should be considered for the cause, such as oral medications to improve heart rhythm or blood supply to the heart for heart disease, and oral medications to improve autonomic nerves, such as glutamate, for autonomic nerve dysfunction.