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Differential diagnosis

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There is a differential diagnosis for seizures since a number of clinical conditions may simulate generalized convulsions (Box 17.1). Syncope is a frequent consideration in the differential diagnosis. Loss of consciousness is abrupt in syncope and occasionally the brief myoclonic jerks that accompany the faint are a source of confusion. “Convulsive syncope” results from the cerebral hypoperfusion during the syncopal event. Investigations and treatments should be directed toward the cause of syncope [7].

Emergency Medical Services

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