In differentiating seizures from syncope, all the following features favor the former (seizures) except
Correct Answer: Clear sensorium after the event
Description: (C) Clear sensorium after the event FEATURES THAT DISTINGUISH GENERALIZED TONIC-CLONIC SEIZURE FROM SYNCOPEFeaturesSeizureSyncope* Immediate precipitating factorsUsually noneEmotional stress, Valsalva,* Orthostatic hypotension, cardiac etiologies * Premonitorysy mptomsNone or aura (e.g., odd odor)Tiredness, nausea, diaphoresis, tunneling of visior* Posture at onsetVariableUsuallyerect* Transition to unconsciousnessOften immediateGradual over secondsa* Duration of unconsciousnessMinutesSeconds* Duration of tonic or clonic movements30-60sNever more than 15 s* Facial appearance during eventCyanosis, frothing at mouthPallor* Disorientation and sleepiness after eventManyminutes to hours<5 min* Aching of muscles after eventOftenSometimes* Biting of tongueSometimesRarely* IncontinenceSometimesSometimes* HeadacheSometimesRarely
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