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Unexpected incremental gain from an implantable loop recorder: aiding diagnosis of generalised tonic-clonic epilepsy in a patient with unexplained transient loss of consciousness
  1. Mark Drury-Smith,
  2. Simon McBride,
  3. Sanjiv Petkar
  1. Heart & Lung Centre, New Cross Hospital, Wolverhampton, UK
  1. Correspondence to Dr Sanjiv Petkar, Heart & Lung Centre, New Cross Hospital, Wolverhampton WV10 0QP, UK; sanjiv.petkar{at}

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A 77-year-old man was investigated following three episodes of unexplained transient loss of consciousness (TLoC) over 8 months. According to eyewitnesses, each episode would start suddenly with blank facial expressions, followed by rapid onset of pallor. Loss of consciousness would ensue, associated with twitching of the limbs for several minutes. On regaining consciousness, the patient would be incoherent and amnesic. There was …

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