The episode began with two attacks of generalized tonic-clonic seizures, fever and consciousness disturbance, followed by urinary incontinence and paraplegia with hyporeflexia.
This disorder is a longitudinal diagnosis and its clinical symptoms include hypomania, mania, mixed states, major depressive episode, hyperthymic temperament and depressive mixed state.
But I produced tears amounting to more than what I have done for the last 7 episodes, this is voluntary tears, out of sheer sympathism, indignation, commiseration and above all, identifiability.
Head up tilt table testing is not warranted in patients who hae experienced a single syncopal episode without injury in an intermediate or low risk setting.