Abstract

Episodic alterations in awareness and/or motor state are common in young children — these can cause considerable diagnostic difficulties. Often the parents, who may be young and inexperienced, are so frightend by the event that they are unable to give the clear history, that is mandatory, if the nature of the attacks is to be defined. It is usual to restrict the term convulsions to seizures which are epileptic in origin. Other funny turns can be secondary to sudden alterations in vagal tone; cardiac rhythm; muscular tone; brain stem, or vestibular function; sleep pattern; or, due to behavioural/hysterical conversion disorders. Epileptic seizures can be secondary to other attacks in which anoxia occurs. 1

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