Epilepsy has a variety of manifestations, and some specific manifestations of epilepsy are more common in children. Therefore, parents should detect 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. In addition to most common seizure manifestations, there are some special rare epilepsy symptoms that are easily misdiagnosed. Epilepsy with motor symptom manifestations is a special clinical manifestation of epilepsy: 1. Epileptic nystagmus With nystagmus as the main or only manifestation of seizures. As a manifestation of focal seizures, epileptic nystagmus is rare. Patients may have no previous history of epilepsy. Epileptic nystagmus may 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 of the discharge site is mostly in the temporoparieto-occipital region. Postural epilepsy is a form of epilepsy 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 seizure usually lasts for a short period of time, and the conscious person can actively support objects to prevent falling, and some of them fall to the ground after the rotation, followed by generalized tonic-clonic seizure.