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The �broad� differential analysis of potential seizures and �epilepsy� is a number of and is particularly difficult beneath the age of 12 months and contains: � Gastro-oesophageal reflux (Sandifer�s syndrome) � Reflex anoxic seizures (pallid syncopal assaults) � Cyanotic breath-holding assaults � Cardiac arrhythmias � Munchausen syndrome by proxy (passive or active both representing a type of baby abuse) � Shuddering spells and jitteriness � Hyperekplexia � Benign neonatal sleep myoclonus � Benign myoclonus of infancy � Tonic reflex exercise and involuntary actions (seen in children with neurological impairment including cerebral palsy or hydrocephalus). Pallor of the mucous membranes, a lowered pulse volume and tachycardia may be the solely preliminary indicators. 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