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Concussive convulsions

BMJ 1997; 314 doi: (Published 26 April 1997) Cite this as: BMJ 1997;314:1283

Editorial perpetuated myths about convulsive syncope

  1. John Stephenson, Professora
  1. a Fraser of Allander Unit (Neurology and Child Development), Royal Hospital for Sick Children, Glasgow G3 8SJ
  2. b Neurological Science, Walton Centre for Neurology and Neurosurgery, Liverpool L9 1AE

    Editor—Paul McCrory and colleagues' description of concussive convulsions as a new variety of non-epileptic seizure with good prognosis is a major contribution to the differential diagnostic field of fits, faints, and funny turns.1 It is a pity that the accompanying editorial does not do justice to this difficult subject.2

    As McCrory and colleagues point out, the concussive convulsions that they observed could not have been either traditional anoxic seizures (common convulsive syncope) or anoxic-epileptic seizures because the latency between trauma and convulsion was too short for even cardiac asystole to be the mechanism.3 4 In their editorial J W A S Sander and M F O'Donoghue …

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