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Question 1

What can mimic a seizure?

Answer 1

-Vasovagal syncope is a partial or complete interruption of awareness and may be accompanied by clonic jerks. It is associated with postural change, neck movement (baroreceptor), micturition, coughing
-Non-epileptic attack disorder, i.e. pseudoseizure, is more common in females with previous psychiatric illnesses. Often provoked by stress, incontinence is uncommon
-Cardiac arrhythmia should be especially considered in patients with cardiac history (Fig 1). May be present with myoclonus
-Hyperventilation/panic attacks with symptoms such as dizziness, vertigo, paraesthesia and altered conscious level
-Cerebral vascular event caused by temporary disturbance of blood supply to an area of the brain, which results in a sudden, brief decrease in brain function