Taoufik Boubga, Abdellah Taous, Maha Ait Berri, Tarik Boulahri
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 2
Issue: 11
Date of Publication: 2025/11/02
Background: Transient loss of consciousness (TLOC) has multiple causes and remains a diagnostic challenge.
Objective: To describe the epidemiological, clinical, and etiological characteristics of TLOC and outline diagnostic practices in a Moroccan military neurology department.
Methods: A two-year retrospective study (March 2022 – March 2024) included adults admitted for TLOC. Diagnoses of epilepsy, psychogenic nonepileptic seizures (PNES), and syncope were established through clinical and paraclinical criteria. Data were analyzed descriptively using Microsoft Excel.
Results: Sixty patients were included (mean age 28 years; 90 % male). Epilepsy represented 61.7 % of cases, PNES 28.3 %, and syncope 10 %. EEG abnormalities were present in 61.7 %, brain imaging was abnormal in 19 %, and ECG bradycardia occurred in 10 %.
Conclusion: Epilepsy predominated among TLOC cases in this young, male population. Diagnostic accuracy depended on systematic clinical and paraclinical assessment. Multidisciplinary collaboration is essential to improve future diagnostic precision.
transient loss of consciousness; epilepsy; PNES; syncope; EEG; Morocco
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