“…[6,12,14,23,25] Although the diagnosis of IM is purely clinical, a high index of suspicion is required. [13,17,26] While there are currently no clear-cut clinical diagnostic criteria, the presence of certain features are regarded as highly suggestive of IM: (1) onset from the age of two months to four years, (2) stereotypic episodes of variable duration and frequency, (3) somatosensory symptoms like grunting, flushing, perspiration, (4) perineal pressure or stimulation with characteristic posturing of the lower limbs, (5) occurrence with intact sensorium but often just before sleeping, (6) cessation of events with distraction, (7) and normal physical and/or laboratory findings. [6,17] The diagnostic hallmark that has consistently distinguished IM from epilepsy is the cessation of the events with distraction (sometimes eliciting anger or temper tantrum, which did not occur in the index case).…”