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hello im dr david saperstein director for the center of complex neurology eds and pots in phoenix arizona id like to talk briefly about seizures and autonomic disorders and fainting so the question comes up often um whether people with pots or other autonomic disorders can progress to seizures or conversely oftentimes patients with these disorders have been diagnosed with having seizures or suspected having so most of the time whats happening is theres inadequate or sub-optimal blood flow to the brain thats occurring basically because somebodys fainting and most of the time when you faint or medical term syncope most of the time when theres not sufficient blood flow to the brain people just go limp and collapse or slump down for sometimes instead there will be stiffening in the body and there could be jerking and shaking and it can look like a seizure and in medical terms we call it convulsive syncope so syncope or fainting that looks like a convulsion looks like a seizure if y