Approximately 7% of children with epilepsy experience a particular type of autonomic seizure that is frequently undiagnosed and misdiagnosed.1-4 Autonomic seizures are more common in children aged 3 to 6 years and are exceptional in adults.4 Because autonomic seizures have been largely ignored by pediatrics journals, I am writing this letter in hopes of decreasing the associated avoidable morbidity.3,4