Page 35 - C:\Users\ALAhram\Documents\Flip PDF Professional\
P. 35
Conditions that mimic epilepsy
Breath-holding spells:
Cyanotic spells:6 mo to 5 years
Infant upset → vigorous cry → forced expiration and apnea → cyanosis and loss
of consciousness with or without myoclonic seizures.
Treatment: reassurance + in some case we can try oral iron therapy which can
decrease the number of attacks.
Pallid spells :
Head trauma→ bradycardia with a period of a systole may be recorded →
hypotonia and loss of consciousness with or without tonic seizures
Treatment : reassurance , in refractory cases oral atropine sulphate may be
recommended → which increase the heart rate
Sleeping disturbance: Sleepwalking, Night terrors.
Masturbation :
2 months-3 years : rigid posturing
Consciousness not impaired
Normal EEG
Pseudoseizures( Hysterical ): Normal EEG.
Cough syncope: Unawareness with surroundingas as in bronchial asthma,
hopping cough.
