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Key Differentiators
- Lateral tongue biting is highly specific for seizures.
- Urinary incontinence can occur in both syncope and seizures, so it's not a reliable differentiator.
Confirming Seizures
- Confirm self-reported seizures with a witness account.
- Note that lying down during the event suggests syncope rather than a seizure.
Misdiagnosed Syncope
- A patient's syncope was initially misdiagnosed as seizures.
- The true cause was revealed to be heart block after observing a sinus pause on the monitor.