The clinical manifestations of hysteria are characterized by exaggeration, lack of realism and excessive acting out, and complex and variable symptoms. Because of the short life experience of children, their thinking and feelings are simple, so the onset is less and the symptoms are simpler than those of adults. The difference between pediatric hysterical seizures and epilepsy is mainly as follows: (1) Pediatric hysterical seizures are mostly seen in older children and are closely related to psychiatric factors. (2) Hysterical convulsions are disorganized and irregular, not accompanied by loss of consciousness and incontinence. (3) Hysterical fainting slowly collapses and is not injured, face color changes, pupil reflexes are normal, and can recall after the attack. (4) Hysterical seizures are related to the surrounding environment, often occurring at compelling times and places, and aggravated when there are people around. (5) Suggestion therapy can terminate hysterical seizures. (6) The EEG is normal during hysterical seizures.