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Blackout or transient loss of consciousness is a condition characterized by sudden unconsciousness lasting from seconds to minutes. It can be categorized into neurological causes, such as epilepsy or epileptiform disorders, and syncope, resulting from autonomic failure or dysfunction. Distinguishing between the two is crucial, as both involve loss of consciousness and incontinence. However, tongue biting occurs in neurological cases but not in autonomic or cardiogenic ones. Accurately differentiating between the causes enables effective treatment, often yielding satisfactory results.