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Table 1 Medical History Questions

From: Prevalence of non-febrile seizures in children with idiopathic autism spectrum disorder and their unaffected siblings: a retrospective cohort study

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. ----------------------------------