Examination of patients with automatisms

Automatisms are more or less involuntary, meaningless and purposeless stereotyped movements that occur during or after a seizure when the patient’s consciousness is still cloudy and cannot be recalled after waking up. Clinical manifestations may take various forms, including the repetition of previously performed movements, new unconscious movements, or movements in response to hallucinations or illusions. The relevant examination items of automatism are as follows: 1. Blood, urine and stool examination According to the condition, blood biochemistry (sugar, calcium, phosphorus and electrolytes, etc.), cerebrospinal fluid, liver and kidney function, chromosome and various genetic metabolic disease tests may be checked. 2. 2.Electroencephalography EEG can assist in the diagnosis of epilepsy and help in the localization and classification of epilepsy. It helps to exclude non-epileptic diseases. Therefore, all children with convulsions should have routine EEG examination. If necessary, evoked test and 24-hour dynamic electroencephalogram should be performed. 3.Imaging examination (1)CT and magnetic resonance imaging (MRI): to check for structural abnormalities of the brain, such as cerebral malformations, intracranial calcifications, tumors and developmental abnormalities. (2) Positron Emission Tomography (PET) and Single Photon Emission Tomography (SPECT): To detect brain metabolic function and cerebral blood flow, to understand brain function changes and to help localize epilepsy. Positron Emission Tomography (PET) is more accurate in responding to the lesion and preparing for surgery.