Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/1/2025

Absence Seizures

Core Clinical Features

  • Consciousness is altered rather than completely lost, with patients experiencing impairment of awareness and responsiveness but remaining upright during attacks, as noted by the European Society of Cardiology 1, 2, 3
  • Patients do not fall during absence seizures, which is a key distinguishing feature from other seizure types, according to the European Society of Cardiology 1, 2, 3

Distinguishing Features from Other Conditions

  • No loss of consciousness leading to falls, with patients remaining standing throughout the episode, as stated by the European Society of Cardiology 1, 2, 3
  • Absence of typical syncopal triggers, such as orthostatic stress or emotional stimuli, as noted by the European Society of Cardiology 3
  • No pallor or sweating, which are common in syncope, as reported by the European Society of Cardiology 3
  • Post-event confusion is minimal or absent, whereas syncope typically results in immediate clearheadedness, according to the European Society of Cardiology 3