Conscious convulsions may belong to epilepsy, or they may be caused by psychogenic seizures, low potassium, low calcium, etc. Relevant medical tests should be conducted to identify them. 1. Epilepsy: Epileptic seizures include generalized seizures, partial seizures, etc. In patients with partial seizures, not all of them will lose consciousness; some of them are conscious, and thus may have conscious convulsions. 2. Psychogenic seizures: the symptoms partially overlap with and are highly similar to those of epileptic seizures. They are often caused by psychological factors and are usually not accompanied by loss of consciousness, and patients are basically awake during the seizure. 3. Hypocalcemia and hypokalemia: These are mainly caused by low calcium and potassium ions in the blood, resulting in muscle spasms and convulsions, and the patient is usually conscious during the convulsions. Electrolyte and calcium tests can be performed to clarify the diagnosis. There are more diseases that cause conscious convulsions. If you want to clearly diagnose whether it is epilepsy or not, you have to perform EEG examination, as well as cranial CT, MRI and other tests. It is recommended that the patient actively consult the doctor and follow the doctor’s instructions to improve the relevant examinations and treatment.