The management of patients who experience TLOC requires the recognition of the defining features of each of the major groups, and cooperation between different clinical specialties. The other major groups of TLOC are generalized epileptic seizures, functional TLOC (psychogenic TLOC mimicking either epilepsy or syncope), and a further group of miscellaneous disorders. Syncope is defined as TLOC due to cerebral hypoperfusion, and is divided into reflex syncope (synonymous with neurally mediated syncope), syncope due to orthostatic hypotension, and cardiac syncope (arrhythmic or associated with structural cardiac disease). TLOC is defined as an apparent loss of consciousness with an abrupt onset, a short duration, and a spontaneous and complete recovery. We also discuss the pathophysiology of TLOC and the key clinical features that aid diagnosis. Here, we present a classification scheme for TLOC, based on ongoing multidisciplinary efforts including those of the Task Force on Syncope of the European Society of Cardiology. An inconsistent terminology contributes to the confusion. 2012 47(5):362-365.Abstract : Episodes of transient loss of consciousness (TLOC) events pose diagnostic difficulties, as the causes are diverse, carry vastly different risks, and span various specialties. Cases of pediatric narcolepsy after misdiagnoses. Narcolepsy: signs, symptoms, differential diagnosis, and management. Complex movement disorders at disease onset in childhood narcolepsy with cataplexy. Impact of obesity in children with narcolepsy.
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