Seizures or Syncope? Check out this podcast on trying to differentiate seizure activity from syncope by Dr Heidi Barnes. Some key characteristics of both events can help improve confidence with what we are dealing with - and in the end, a video is worth a thousand words! See the video attached of a dog exhibiting multiple focal motor seizures with atonic collapse. Note the autonomic involvement manifested as salivation. https://www.cliniciansbrief.com/article/top-5-ways-differentiate-syncope-sei
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Syncope (whether vasovagal, orthostatic, cardiogenic, etc.) may present as convulsive syncope: a brief loss of consciousness associated with a short period of jerking or posturing. While a true seizure involves an abnormal discharge of neurons in the brain, convulsive syncope involves seizure-like activity due to cerebral hypoperfusion. Convulsions, loss of consciousness & loss of muscle tone last a few seconds followed by complete recovery, without the postictal period of an epileptic seizure.
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