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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 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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Metadata
- 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 › Clinical Neurology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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