Diagnostic Questions to Determine Whether Loss of Consciousness Is Due to Seizures or Syncope     (Sheldon et al.  JACC 40:142-8, 2002)

(The patient has seizures if the point score is ≥1, and syncope if the point score is <1)

Questions

Points (If Yes)

 

At times do you wake with a cut tongue after your spells?

2

 

At times do you have a sense of deja vu or jamais vu before your spells?

1

 

At times is emotional stress associated with losing consciousness?

1

 

Has anyone ever noted your head turning during a spell?

1

 

Has anyone ever noted that you are unresponsive, have unusual posturing or have jerking limbs during your spells or have no memory of your spells afterwards? (Score as yes for any positive response)

1

 

Has anyone ever noted that you are confused after a spell?

1

 

Have you ever had lightheaded spells?

−2

 

At times do you sweat before your spells?

−2

 

Is prolonged sitting or standing associated with your spells?

−2