Transient loss of consciousness (TLOC): clinical features

Evidence-based neurology checklist on transient loss of consciousness (tloc): clinical features: Features suggestive of syncope Upright posture Prodrome of nausea or sweating: these are very unlikely in seizures Syncope-provoking circumstances Pale appearance Brief duration Features suggestive of…

Features suggestive of syncope

  • Upright posture
  • Prodrome of nausea or sweating: these are very unlikely in seizures
  • Syncope-provoking circumstances
  • Pale appearance
  • Brief duration

Features suggestive of seizures

Features suggestive of cardiac TLOC

Non-discriminatory features

References

  1. Transient loss of consciousness ('blackouts') management in adults and young people. NICE Clinical Guidance CG109. August 2010.
  2. Thijs RD, Wagenaar WA, Middelkoop HAM, Wieling W, van Dijk JG. Transient loss of consciousness through the eyes of a witness. Neurology 2008; 71:1713-1718.
  3. McKeon A, Vaughan C, Delanty N. Seizure versus syncope. Lancet Neurol 2006; 5:171-180.
  4. Hoefnagels WA, Padberg GW, Overweg J, van der Velde EA, Roos RA. Transient loss of consciousness: the value of the history for distinguishing seizure from syncope. J Neurol 1991; 238:39-43.

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