Many neurological problems are episodic, so that cases appear normal when examined in the consulting room. Now that almost everybody walks around with a good quality video camera in their pocket, there’s plenty of opportunity for clients to record these problems as they occur, making it much easier to understand the nature of the problem. Unfortunately, owner videos come in a variety of shapes and sizes and clients will sometimes expect you to reach a decision on the spot. Quality can be poor, with grainy, poorly focused images, shaky footage and low lighting. It can even be difficult to determine the precise nature of the abnormality being illustrated. Overall, however, client videos should be viewed as an invaluable asset in deciding how best to investigate a problem.

Learning Objectives:

• To have some insight into the difference between seizure activity and other sporadic episodes of collapse
• To recognise that neurological disease can mimic other causes of collapse and weakness
• To appreciate that owner videos are an asset in determining the nature of collapse.