Medical Emergencies · single question

An epileptic child with autism presents for care. Which of the following is NOT a typical symptom of a seizure?

  1. Muscle spasms
  2. Unresponsiveness
  3. Loss of consciousness
  4. Repetitive verbal behavior
Show answer and explanation

Correct answer: D. Repetitive verbal behavior

  • A. Muscle spasms (tonic and/or clonic movements) ARE hallmarks of generalized tonic-clonic seizures.
  • B. Unresponsiveness IS a classic seizure symptom — the patient does not respond to stimuli during the ictal phase.
  • C. Loss of consciousness (or impaired consciousness) IS a hallmark of generalized tonic-clonic seizures.
  • D. Repetitive verbal behavior (echolalia, scripting, or verbal stimming) is a characteristic of AUTISM SPECTRUM DISORDER, NOT of seizures. It may be seen in this patient as an autistic behavior but is NOT a seizure symptom. This is the EXCEPTION.

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