Epilepsy and syncope The principal differential diagnosis is between an epileptic _______________ and a syncopal attack, or ________________. Syncope is a sudden loss of consciousness due to temporary _______________ of the cerebral circulation. Syncope is distinguished _______________ a seizure principally by the circumstances in which the _______________ occurs. For _______________, syncope usually occurs whilst standing, in situations of severe stress, or in association with cardiac arrhythmia. Convulsion and urinary incontinence sometimes occur _______________ in a syncopal attack. The key is to _______________ the presence or absence of prodromal symptoms, i.e. symptoms that occur immediately before the attack. A syncopal _______________ is usually preceded by symptoms of dizziness and light-headedness. In epilepsy, people may get a warning, known as aura, that an attack is going to happen. The good news _______________ epilepsy sufferers is that the seizure is, like syncope, transient and does not last long. ! establish example fainting episode fit even for failure event from…? ! Doctor’s questions Did you lose _______________ suddenly or gradually? Did you often become _______________ in recent years? Did you get a _______________ of the attack? What were you doing before you passed _______________ ? Were you worried or under any _______________ at the time? Did you feel _______________ or _______________ - _______________ before the attack? Did you lose _______________ of your bladder? Did your partner notice any _______________ movements while you had the blackout?