| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Departments of Neurology (Drs. King. Gallagher. Smith. Marcus. Hartlage. and Ms. Murvin) and Psychiatry, (Dr. Ward) Medical College of Georgia. Augusta, GA.
A prospective study of pseudoseizures using prolonged video-electroencephalographic (EEG) recording was carried out in 60 patients. Of 33 patients with episodes of uncertain mechanism, a diagnosis based on recorded episodes was made in 18 (55%). Twelve (36%) had pseudoseizures; 6 (18%) had epileptic seizures. Ten additional patients had epileptiform EEGs compatible with epilepsy. Of 27 patients with presumably uncontrolled epileptic seizures, 4 (15%) had recorded pseudoseizures. Prediction of the nature of the episode by the admitting neurologist was accurate in 67% of cases. Determination from observations of unit personnel and neurologists was correct in less than 80% of episodes.
These data suggest that pseudoseizures occur frequently in patients being evaluated for epilepsy or suspected epilepsy. The clinical differentiation between epileptic seizures and pseudoseizures is often inaccurate. This differentiation is facilitated by prolonged video-EEG recording.
Address correspondence and reprint requests to Dr. King, Department of Neurology, Medical College of Georgia, Augusta, GA 30912.
This work was supported in part by Research Contract, No. l-NS-6–2340, from the National Institutes of Health, Public Health Service.
Presented at the thirty-third annual meeting of the American Academy of Neurology, Toronto, Canada, April 1981.
Accepted for publication June 18, 1981.
This article has been cited by other articles:
|
|
 |
|
  B. P. Shelley, M. R. Trimble, and N. N. Boutros Electroencephalographic Cerebral Dysrhythmic Abnormalities in the Trinity of Nonepileptic General Population, Neuropsychiatric, and Neurobehavioral Disorders J Neuropsychiatry Clin Neurosci, February 1, 2008; 20(1): 7 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J D C Mellers The approach to patients with "non-epileptic seizures" Postgrad. Med. J., August 1, 2005; 81(958): 498 - 504. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Deacon, S. Wiebe, W. T. Blume, R. S. McLachlan, G. B. Young, and S. Matijevic Seizure identification by clinical description in temporal lobe epilepsy: How accurate are we? Neurology, December 23, 2003; 61(12): 1686 - 1689. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Kotagal, M. Costa, E. Wyllie, and B. Wolgamuth Paroxysmal Nonepileptic Events in Children and Adolescents Pediatrics, October 1, 2002; 110(4): e46 - 46. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A McGonigal, M Oto, A. Russell, J Greene, and R Duncan Outpatient video EEG recording in the diagnosis of non-epileptic seizures: a randomised controlled trial of simple suggestion techniques J. Neurol. Neurosurg. Psychiatry, April 1, 2002; 72(4): 549 - 551. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Gates Provocative Testing Should Not Be Used for Nonepileptic Seizures Arch Neurol, December 1, 2001; 58(12): 2065 - 2066. [Full Text] [PDF]
|
|
|
|
|
|
C. W. Bazil and A. Pack Insulinoma presenting as seizure disorder Neurology, March 27, 2001; 56(6): 817 - 818. [Full Text] [PDF]
|
|
|
|
|
|
J. P. Szaflarski, D. M. Ficker, W. T. Cahill, and M. D. Privitera Four-year incidence of psychogenic nonepileptic seizures in adults in Hamilton County, OH Neurology, November 28, 2000; 55(10): 1561 - 1563. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J BROWN and M. R TRIMBLE Dissociative psychopathology, non-epileptic seizures, and neurology J. Neurol. Neurosurg. Psychiatry, September 1, 2000; 69(3): 285 - 289. [Full Text] [PDF]
|
|
|
|
 |
|
 A. Zaidi, P. Clough, P. Cooper, B. Scheepers, and A. P. Fitzpatrick Misdiagnosis of epilepsy: many seizure-like attacks have a cardiovascular cause J. Am. Coll. Cardiol., July 1, 2000; 36(1): 181 - 184. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. P. Holschneider and A. F. Leuchter Clinical Neurophysiology Using Electroencephalography in Geriatric Psychiatry: Neurobiologic Implications and Clinical Utility J Geriatr Psychiatry Neurol, October 1, 1999; 12(3): 150 - 164. [Abstract] [PDF]
|
|
|
|
 |
|
 E. Wyllie, J. P. Glazer, S. Benbadis, P. Kotagal, and B. Wolgamuth Psychiatric Features of Children and Adolescents With Pseudoseizures Arch Pediatr Adolesc Med, March 1, 1999; 153(3): 244 - 248. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Zaidi, L. Cotter, and A. Fitzpatrick Head up tilt testing has a place in distinguishing certain conditions from epilepsy BMJ, April 5, 1997; 314(7086): 1048 - 1048. [Full Text]
|
|
|
|
 |
|
 E. A. Yeh Pseudoseizures in Social and Cultural Context Transcultural Psychiatry, January 1, 1996; 33(1): 3 - 32. [Abstract] [PDF]
|
|
|
|
|
|
J. R. Gates, V. Ramani, S. Whalen, and R. Loewenson Ictal Characteristics of Pseudoseizures Arch Neurol, December 1, 1985; 42(12): 1183 - 1187. [Abstract] [PDF]
|
|
|
|
|
|
E. Wyllie, H. Lueders, C. Pippenger, and F. VanLente Postictal Serum Creatine Kinase in the Diagnosis of Seizure Disorders Arch Neurol, February 1, 1985; 42(2): 123 - 126. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
