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Tongue biting in pseudoseizures and epilepsy
  1. Jon Stone1,
  2. Rod Duncan2
  1. 1Consultant Neurologist, Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
  2. 2Consultant Neurologist, Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK
  1. Correspondence to:
 Dr J Stone, Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK; Jon.Stone{at}

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We enjoyed Fuller and Lindahl’s article about clinical clues for distinguishing epilepsy from non-epileptic attacks.1 Their comments about the location of tongue biting in non-epileptic attacks (rarely the side, sometimes the tip) may well be correct, but we thought they deserved some additional comment, partly because their analysis omitted a number of relevant studies (see table).2–12 We have combined the mainly small series in the table, admittedly inviting a …

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