neurological examination can yield additional diagnostic clues, particularly soon after a seizure. Findings may include:

* Tongue or oral injuries, such as lateral tongue bites, which strongly suggest a generalized tonic-clonic seizure, though they occur in only about one-third of cases
* Postictal focal neurological signs, such as weakness or asymmetric reflexes
* Urinary or fecal incontinence, which, while not specific, can support the diagnosis of a generalized seizure

Between seizures, the neurological examination

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