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Blackout or transient loss of consciousness is a condition characterized by a sudden loss of consciousness lasting from seconds to minutes. It can be neurological, due to epilepsy or epileptiform disorders, or syncope, resulting from autonomic failure or dysfunction. Distinguishing between these two causes is crucial, as they share symptoms like loss of consciousness and incontinence but differ in specific signs, such as tongue biting, which occurs in neurological cases but not in autonomic or cardiogenic ones. Once differentiated, appropriate treatment can be administered, often leading to satisfactory results.