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.
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.
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.