The diagnosis of epilepsy rests on a detailed history and examination. The main focus of such a history is to exclude the possibility of non-epileptic paroxysmal events. An incorrect diagnosis of epilepsy can potentially lead to physical, psychological and financial harm to the child and the family. A wide range of non-epileptic paroxysmal events can occur in children. The differentiation of a seizure mimic from a seizure relies solely on a proper history and review of video recordings. Investigations rarely help in the diagnosis of these events. An early and timely diagnosis and proper parental counseling helps avoiding unnecessary investigations, treatment and allays parental anxiety. The article reviews the common non-epileptic paroxysmal events in children, emphasizing clinically relevant points.
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