In addition to the familiar “grand mal” seizure – sudden fall, unconsciousness, twitching of limbs, and foaming at the mouth – there are many different seizure symptoms, some of which can be easily overlooked, delaying the condition and treatment. In general, most seizures are manifested as seizures, recurrent, and stereotyped clinical events, so if a child has a certain symptom repeatedly, it needs to be taken seriously. Below we share with you some of the symptoms of epilepsy that are often not taken seriously: 1. Motor symptoms: Eye: blinking, eye rolling up, staring, and nystagmus Oropharyngeal movements: involuntary sucking, lip smacking, chewing-like movements, tongue extension. Progressive movements: rowing-like, pedaling, cycling-like or throwing-like, shooting-like movements, etc. Complex purposeless behavior Sudden awakening, with excessive body movement, with panic or crying, etc. 2. Nodding and hugging-like movements, occasionally accompanied by screaming and irritability, etc., are mostly suggestive of infantile spasms, mostly occurring within 1 year of age, and are often mistaken for calcium deficiency. 3. Generalized muscle rigidity in response to unanticipated auditory or tactile stimuli (sudden noise, movement or touch) is mostly suggestive of hyperarousal disorder, which is treated with clonazepam with dramatic effect. 4, demented laughter seizures: quiet laughter or a smiling face, but also loud laughter, but the laughter is not accompanied by a pleasant emotional component, a hollow or no happy component of laughter, can be inappropriate occasions or emotional depression when the seizure, mostly suggesting epilepsy due to hypothalamic malformation tumor, drug treatment is ineffective, often requires surgery. 5. Nausea and vomiting (dry vomiting), behavioral changes, eye deviation to one side, with or without pallor, cough, and urinary and fecal incontinence are often suggestive of Panayiotopoulos syndrome, an age-related idiopathic benign epilepsy syndrome. 6, Visual hallucinations (small colored circular shapes around the periphery of the visual field, larger/smaller visual objects), seeing familiar or unfamiliar, friendly or scary, simple or oddly shaped shapes and objects, and obligatory deflection of the eye are mostly suggestive of possible occipital lobe epilepsy and usually work better with carbamazepine. 7, fright, screaming, chewing and other automatisms, mild disturbance of consciousness, autonomic function symptoms (pallor, sweating, abdominal pain, salivation, etc.), may suggest benign childhood seizure affective symptoms. 8. Disorders of consciousness (apoplexy) with brief sustained incontinence (seconds), sudden onset and abrupt cessation, interruption of ongoing activities, often accompanied by gaze, such as sudden standing still while walking, and sudden cessation of speech while speaking. Mostly suggestive of inattentive seizures, 90% of inattentive cases can be induced by hyperventilation. It is easy to be mistaken for the child’s inattentiveness. 9. Auditory hallucinations (ringing, buzzing, ticking) or dream-like state mental delusion, upper limb dystonic posture, chattering contentless outbursts, and body rotation are often suggestive of lateral temporal lobe epilepsy. 10, Thumb with or without ipsilateral lips, fingers, or even involving the entire upper extremity or other parts of the body, often suggests Bravais-Jackson seizures, a type of frontal lobe seizure. 11. The presence of various types of somatic sensory abnormalities, sensory inversions, and pain, such as pins and needles, numbness, fever, burning, itching, crepitus, and hypoacusis, may suggest occipital lobe epilepsy. 12. A convulsion limited to one muscle or a group of adjacent or unrelated muscles on the same side of the body (with facial or hand muscles being the most susceptible) that lasts for several hours, days, or weeks may also suggest partial epilepsy persistence. As can be seen, seizures have a variety of symptoms, and it is important for parents to be more observant and physicians to be more vigilant in clinical practice so that some rare seizures are not missed or misdiagnosed. When certain symptoms occur repeatedly and show extreme symptom similarity that cannot be reasonably explained by other reasons, the possibility of a specific type of epilepsy needs to be considered.