Syncope is more prevalent than epilepsy in older people and should always be considered, especially if there is a postural component, for example if symptoms occur on rising or standing, or if the patient is taking any medications known to cause postural hypotension (such as antidepressants, antihypertensives, antipsychotics or diuretics). Epilepsy may be misdiagnosed as syncope and vice versa (Josephson et al, 2007; Grubb, 2005; Zaidi et al, 2000).