Rule 1 (no knowledge of symptom burden): scoresRule 2 (knowledge of symptom burden: scores
  • waking with a cut tongue (+2)
  • head turning to one side during TLoC (+2)
  • abnormal behaviour noted (one or more of: witnessed amnesia for abnormal behaviour, witnessed unresponsiveness, unusual posturing or limb jerking) (+1)
  • more than 30 episodes of TLoC (+1)
  • TLoC with emotional stress (+1)
  • unresponsiveness during TLoC (+1)
  • postictal confusion (+1)
  • head turning to one side during TLoC (+1)
  • prodromal déjà vu or jamais vu (+1)
  • any presyncope (−2)
  • TLoC with prolonged standing or sitting (−2)
  • any presyncope (−2)
  • loss of consciousness with prolonged standing or sitting (−3)
Patients classified as having a seizure if the total points score is 1 or morePatients are classified as having a seizure if the total points score is 0 or more

From: 3, Initial assessment and diagnosis of people who had TLoC

Cover of Transient Loss of Consciousness (‘Blackouts’) Management in Adults and Young People
Transient Loss of Consciousness (‘Blackouts’) Management in Adults and Young People [Internet].
NICE Clinical Guidelines, No. 109.
National Clinical Guideline Centre for Acute and Chronic Conditions (UK).
Copyright © National Clinical Guideline Centre for Acute and Chronic Conditions, 2010.

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