Table 1 Medical History Questions
For ASD Affected Child | For Unaffected Sibling |
|---|---|
Neurological – Is there any known issue/abnormality in this area? | Neurological – Is there any known issue/abnormality in this area? |
1. Febrile seizures – “yes”, “no”? | 1. -------------------------------- |
2. Other seizures – “yes”, “no”? | 2. Seizures – “yes”, “no”? |
3. Seizures type: complex partial, febrile, generalized/GTC/grand mal, absence/petit/mal, infantile spasms, other, unknown, multiple? | 3. Seizures type: complex partial, febrile, generalized/GTC/grand mal, absence/petit/mal, infantile spasms, other, unknown, multiple? |
4. Age of seizure onset (years)? | 4. Age of seizure onset (years)? |
5. Number of seizures? | 5. ---------------------------------- |
6. Frequency of seizures? | 6. ---------------------------------- |
7. Seizures requiring treatment with medication? | 7. ---------------------------------- |
8. Cerebral abnormalities – “yes”, “no”? | 8. ---------------------------------- |
9. Comments about cerebral abnormalities. | 9. ---------------------------------- |