The article presents a case study of a 79-year-old man whose recurrent episodes of limb weakness, slurred speech, and drowsiness initially led to misdiagnoses of vasovagal syncope and transient ischemic attacks (TIAs) before a final diagnosis of focal atonic seizures. Topics include the diagnostic challenges of differentiating syncope, TIAs, and seizures; the role of detailed history-taking and eyewitness accounts; and the importance of targeted investigations such as EEG.