Key Points in the History of a Seizure From Spotting the Sick Child

The following is from website This is in the section, Symptoms–Fits, the Fit Itself. Access to this page, part of an review of acute pediatrics, requires free registration.

The video makes a key point: “When taking a history it is important to try as hard as possible to get an eyewitness account, even if this is over the phone, and to take the person through exactly what they saw.” And below are the questions to lead the person through.

The Fit Itself: Key Points In the History

  • Any warning signs?
  • Aware of surroundings?
  • Appearance of the child during the event?
    • Abnormal movements?
    • Eye Position?
    • Color?
    • Tone?
    • Incontinence of Urine?
    • Tongue Biting or Injuries?
  • Duration of fit?
  • Duration of recovery?
  • Post event headache?


Common Causes of Fit-Like Episodes
Non-Seizure Events True Seizures
Syncope Febrile Convulsions
Cardiac Syncope Secondary Epilepsy (cerebral palsy, structural brain lesions, syndromes)
  Reflex anoxic seizures
  Alcohol and drugs (intoxication or withdrawal)
  Head injury (including non-accidental trauma)
  Infections (meningitis/encephalitis)
  Metabolic (hypoglycemia, hyponatremia, hypocalcemia
This entry was posted in Neurology, Pediatrics. Bookmark the permalink.