TY - JOUR T1 - Fifteen-minute consultation: when is a seizure not a seizure? Part 2, the older child JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 295 LP - 300 DO - 10.1136/archdischild-2015-308343 VL - 100 IS - 6 AU - Mohamed OE Babiker AU - Manish Prasad Y1 - 2015/12/01 UR - http://ep.bmj.com/content/100/6/295.abstract N2 - Paroxysmal non-epileptic events (PNEs) refer to episodic changes in behaviour, sensation or consciousness that lead to unusual movements, which may resemble epileptic seizures, but are not, due to excessive neuronal firing in the cerebral cortex. A significant proportion of patients seen in epilepsy clinics do not actually have epilepsy. Therefore, it is paramount for clinicians to be able to recognise these transient non-epileptic events in order to avoid unnecessary antiepileptic treatments and to provide appropriate management as required. These PNEs can be observed within the context of a neurological disorder such as migraine or with no direct neurological basis such as simple tics. In this review, we have described common PNEs presenting in school-age children and adolescents alongside the clinical approach to differentiate them from epileptic seizures. PNEs occurring in infancy and younger children have been covered in our first review of this series. ER -