twists in and out of consciousness

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Vladv1

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"But this is different. His eyes can’t focus. His body can’t move. His mouth can’t breathe. He twists in and out of consciousness before finally a face he doesn’t recognise hovers over him, telling him the score. ‘You’ve been in an accident,’ the voice says."
Source: Mick Wall "Hell ain't bad place to be".

Does the bolded mean the same as "slipping in and out of consciousness"? Is there a regional difference between the two phrases?
 
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Does the bolded mean the same as "slipping in and out of consciousness"? Is there a regional difference between the two phrases?

Yes
Is there a regional difference between the two phrases?

I've never heard the expression with 'twists'. I've heard 'fade', 'drift', and 'slip', but not 'twist'.

The author is British, so if some of our BrE speakers confirm its usage, then it would have to be a regional variant.
 
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"But this is different. His eyes can’t focus. His body can’t move. His mouth can’t breathe. He twists in and out of consciousness before finally a face he doesn’t recognise hovers over him, telling him the score. ‘You’ve been in an accident,’ the voice says."
Source: Mick Wall "Hell ain't bad place to be".

Does the bolded mean the same as "SLIPS in and out of onsciousness"? Is there a regional difference between the two phrases?
Apparently. What word needs a "c" at the beginning?
 
It's not a regionalism. It's just the writer being creative with his choice of verb.
 
"Twist" connotes abruptness, which I find, an unusual way of describing the changing state of consciousness.
 
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