Pseudoepileptic seizures: Methods and video analysis to aid diagnosis
Abstract
The purposes of this study were to obtain a detailed description of the clinical features of pseudoepileptic (PE) seizures, to try to reproduce these events in the laboratory during a single recording, and to establish a framework useful to the clinician for evaluating patients whose behavior suggests physiological seizures, but about which doubt remains. We analyzed 37 episodes of PE seizures recorded in 30 patients during a single three‐hour video/EEG recording. The PE seizures occurred spontaneously or were induced by sequential activation procedures. The historical information together with behavioral observations show that the PE seizures mimicked primary generalized seizures in 15 episodes, elementary partial seizures with secondary generalization in 21 episodes, and complex partial seizures in a single episode. Our data underscore the usefulness of the video/EEG recording method and suggest activation techniques which, combined with detailed historical information, aid in establishing the diagnosis of PE seizures.
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The mean time of video-EEG recording was 6 h.
“The mean duration of the video-EEG recording time was 6 h per patient (range, 2-16 h).”
From Clinical features and prognosis of nonepileptic seizures in a developing country (2001) · cites this paper as [10]
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Psychogenic nonepileptic seizures
Widdess‐Walsh, P., Mostacci, B., Tinuper, P., & Devinsky, O. (2012) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52898-8.00017-3 · Cited by 17 · see citing works
Cerebral Perfusion SPECT Imaging in Epileptic and Nonepileptic Seizures
Blend, M. J., León, O. A. D., Jobe, T. H., LIN, Q., Sychra, J. J., & Gaviria, M. (1997) · Clinical Nuclear Medicine · doi:10.1097/00003072-199706000-00003 · Cited by 16 · see citing works
- Authors
- Luther, J. S., McNamara, J. O., Carwile, S., Miller, P., & Hope, V.
- Affiliations
- Veterans Health Administration (US)
- Corresponding author
- Luther, J. Scott
- ORCID
- McNamara, James O.
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 1982-11
- Volume
- 12
- Issue
- 5
- Pages
- 458-462
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- OpenAlex
- W1990660466
- Cited by
- 147
- References
- 14
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 1 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 1 · 2013: 7 · 2012: 3
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Keywords
- psychogenic non-epileptic seizures, seizure induction, activation method, primary generalized seizures, focal seizures, complex partial seizures, seizure diagnosis, clinical features
- MeSH terms
- Adolescent, Adult, Child, Diagnosis, Differential, Electroencephalography, Epilepsy, Epilepsies, Partial, Epilepsy, Temporal Lobe, Evoked Potentials, Female, Humans, Male, Middle Aged, Seizures, Videotape Recording
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