Just remember that a simple vasovagal episode can be associated with seizure like activity. This is not epilepsy but often described as such by witnesses. Labelling someone as epileptic has potentially profound impact on job, driving, leisure etc so take a careful history and examine properly!

Watch the YT video below for examples of vasovagal episodes with seizure type activity

https://www.youtube.com/watch?v=SOsNeUg1iGA&ab_channel=Syncopedia