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black out or transient loss of consciousness is a condition where you suddenly become unconscious for several seconds or several minutes it can either be neurological which is due to epilepsy or epileptiform disorders or due to syncope which is due to autonomic failure or autonomic dysfunction it is very important to distinguish the two although there are many overlaps both have loss of consciousness both have incontinence you have tongue bite in the neurological but you dont have that in the autonomic or cardiogenic ones so once you differentiate between the two you can treat them and often the results of most satisfactory [Music]