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Blackout or transient loss of consciousness is a condition where a person becomes unconscious for seconds to minutes. It can be neurological, such as in epilepsy or epileptiform disorders, or due to syncope stemming from autonomic failure or dysfunction. Distinguishing between these two types is crucial, as they share symptoms like loss of consciousness and incontinence. However, tongue biting occurs only in neurological cases, not in autonomic or cardiogenic ones. Once a proper differentiation is made, effective treatment can often lead to satisfactory results.