Transient Loss of Consciousness; Syncope or Seizure: A Case Report

Transient loss of consciousness (TLOC) is one of the common causes for referral to hospital. Syncope and seizure can cause TLOC. Syncope and seizures can be the consequences of each other's. Their common features often lead to misdiagnosis. 

The purpose of this study was to present a patient (male, over 80 years), who received antiepileptic treatment for 6 years for seizure-related transient loss of consciousness.

Due to repeated episodes of suspected syncope, insertion of a dual-chamber PPM was done. After three years of follow-up, he did not report the occurence of the TLOC.

The frequency of the TLOC and its complications emphasize the importance of proper assessments, diagnosis, and treatment. A comprehensive history taking, exact examination, and para-clinical assessments can be very helpful for diagnosis. An incorrect diagnosis can cause economic, psychological, and social problems.