Transient loss of consciousness (TLOC): assessment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Transient loss of consciousness (TLOC): assessment. Tongue biting: 2, Deja vu/jamais vu: 1, Head turning: 1. Fully referenced neurology checklist.

LOC scoring system (<1 syncope, >0 seizure)

  • Tongue biting: 2
  • Deja vu/jamais vu: 1
  • Head turning: 1
  • Post confusion: 1
  • Any one of: unresponsiveness, limb movement, or amnesia: 1
  • Lightheaded before: -2
  • Sweating before: -2
  • Prolonged sitting/standing: -2

Electrocardiogram (ECG)

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Tilt table test

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References

  1. Transient loss of consciousness ('blackouts') management in adults and young people. NICE Clinical Guidance CG109. August 2010.
  2. McKeon A, Vaughan C, Delanty N. Seizure versus syncope. Lancet Neurol 2006; 5:171-180.

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