Twitching of the limbs and foaming at the mouth are among the typical symptoms of epilepsy that people are familiar with. However, not all patients have these typical symptoms, as frottage, hallucinations and hallucinations are also common in some patients. Atypical epilepsy symptoms are more likely to be misdiagnosed and can cause serious harm to patients if not diagnosed and treated correctly in a timely manner. Atypical seizure symptoms are poorly understood and not easily diagnosed, and may be misdiagnosed as other diseases, missing the best time for epilepsy treatment. In clinical practice, the types of atypical seizures are psychomotor epilepsy, abdominal epilepsy, infantile spasms, and headache epilepsy. During a seizure, the patient may show anxiety, sadness, or anger. Some patients may keep repeating certain actions, such as rubbing their hands together, undressing, and fidgeting. Sometimes they may also giggle. In addition, some patients have seizures with sudden onset of abdominal pain or headache. Epilepsy with motor symptoms manifested as the main manifestation is a special clinical manifestation of epilepsy: 1. Epileptic nystagmus With nystagmus as the main or only manifestation of seizures. Traditionally, Chinese medicine refers to epilepsy causing infantile nystagmus as epileptic evidence or epilepsy, epilepsy being a later name. As a manifestation of focal seizures, epileptic nystagmus is rare. Patients may have no previous history of epilepsy. Epileptic nystagmus can occur suddenly without a trigger or in response to specific factors, such as light stimulation, deep breathing, or pressure on the eyeball. The patient may have blurred vision during the seizure, which lasts for a short time. The EEG examination shows that the discharge site is mostly in the temporoparieto-occipital region. Postural epilepsy refers to a form of seizure with recurrent seizures and a certain postural shape as the main manifestation, often due to the involvement of frontal auxiliary motor areas. The typical manifestation is head-eye deviation to one side with one or more limbs in postural tonicity, commonly with the upper limb raised to the side and the elbow semi-flexed, like fencing, while consciousness is mostly preserved and some have screaming or cannot speak. The entire seizure is of short duration. This postural seizure is usually not accompanied by clonic movements, but can be transformed to other forms of seizures. 3. Rotational epilepsy Rotational epilepsy is a special type of epilepsy that is easily confused clinically with torsional spasms and some other psychiatric disorders, resulting in misdiagnosis. It is less common clinically, with recurrent rotational seizures as the main manifestation. Seizures, which may manifest as a simple sudden head-eye turn to one side, mostly to the opposite side of the abnormal discharge, may also be accompanied by a rotation of the trunk in which the patient appears to look to the side or back. Occasionally, it may cause a full-body rotation that can be as many as several revolutions in magnitude. The seizures are usually short-lived. Conscious people may actively support objects to prevent falling, and some of them fall to the ground after spinning, followed by generalized tonic-clonic seizures. There are many different manifestations of epilepsy, and some specific manifestations of epilepsy are more common in children. It is important for parents to detect any unusual manifestations in their children so that they can receive treatment as early as possible to minimize the adverse effects of the disease on their children’s growth and development. Although the symptoms of seizures are atypical, they are characterized by three features, namely sudden onset, recurrence and similarity. For those suspected of having epilepsy, it is important to go to a regular hospital for examination. The basic means of general epilepsy examination is an electroencephalogram. However, not all patients with epilepsy have abnormal EEG during seizures, so further examination is needed to determine the type of epilepsy and to prepare for epilepsy treatment. Reminder: Once atypical epilepsy is diagnosed, it is important to treat it early to avoid serious consequences. Most of the means of treatment for epilepsy is based on drug therapy. Most patients with epilepsy can be controlled with scientific and regular treatment. In addition, patients with epilepsy should avoid seizure triggering factors, eat a reasonable diet, ensure adequate rest time, and most importantly, build sufficient confidence.