Patient: Since he was about 5-6 years old, my son has been experiencing frequent dizziness and vomiting, accompanied by false sweating and yellow face. He is now 8 years old and has been to many doctors, none of whom have been able to cure the problem or tell him the cause. Everything is normal when the disease does not occur, but when it does occur, it often starts with dizziness, followed by vomiting and not eating rice or water for at least a day. In short intervals of one month, the child may suffer from the disease, and in long intervals of about six months. I usually pay more attention to the child’s diet, but sometimes I may have an attack even if there is no special food. I have seen a Chinese medicine doctor, a famous doctor who receives government allowance, and the registration fee is more than 10 yuan, and I have been treated for vertigo, and I have taken more than 30 doses of Chinese medicine, but I have not been cured. It can take several days. I would like to find out the cause of my child’s illness so that I can provide targeted treatment, and see if you can provide any advice in this regard. We can go to Beijing if necessary. What should we look for beforehand to facilitate the diagnosis? What further tests should be done at the hospital? What information should we bring with us when we go to Beijing? Zheng Dong, Department of Neurology, Guangzhou Brain Hospital: Hello! Your child needs to be considered for epilepsy with vertigo seizures, and we suggest you take your child to the neurology department, which may be able to help you. Patient: Thank you, Dr. Zheng. My child should be able to rule out epilepsy because he has never had symptoms of tilted mouth and eyes, even with dizzy seizures, there is no nystagmus, and his speech and movement are fully controlled by his own consciousness, and he was asked about it when he went to the doctor, and basically there is no sense of house turning. When the child was 2 years old and 9 months old, he fell down the slide in the kindergarten, and the CT examination showed a slight bone fracture on the left posterior side of the head. Zheng Dong, Department of Neurology, Guangzhou Brain Hospital: Hello! Your child belongs to a kind of seizure disorder of the vegetative nerves, if it is caused by seizures, it is not those seizure forms that people usually understand, but the rare form of epilepsy: autonomic epilepsy, also known as mesencephalic epilepsy. Parasympathetic seizures are a form of seizure that can exhibit symptoms similar to your child’s: sudden dizziness, sweating, heartbeat, nausea, vomiting, slow pulse, and irregular respiratory rhythm; the number of symptoms and the order of symptoms can be the same or different for each seizure, and the child may be conscious at the time of the seizure. The information you have provided does not yet completely rule out the possibility of this type of epilepsy, as an EEG during a seizure is of diagnostic importance. Sleep EEG may improve the diagnosis. Therefore, it is recommended that if the cause cannot be found, it is best to take the child to a neurologist at a large hospital to see an experienced doctor. Patient: Thank you again, Dr. Cheng. In fact, after seeing my child several times, I also doubt if it is a neurological disorder. After listening to your advice, I will definitely take my child to a neurologist next time if he has a recurrence. Thanks again!