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Pseudoseizures

Ictal phenomena

Department of Neurology, Medical College of Georgia, Augusta, GA.

Videotapes of 71 pseudoseizures from 27 patients were reviewed and clinical phenomena were recorded. Twenty patients demonstrated decreased response to verbal stimuli; 15 described subjective phenomena; 22 had motor activity; 14 semipurposeful movements simulating epileptic automatisms; 19 alimentary phenomena; 9 respiratory change; and 12 nonverbal vocalization. Episodes could be divided into four major ictal patterns. Fifteen patients had bilateral motor episodes; three had unilateral motor episodes; eight had episodes with multiple behavioral phenomena; and three demonstrated episodes with an impaired response but no observable behavior. Eighteen of the 20 patients with multiple episodes had a stereotyped pattern. Individual phenomena often simulated epileptic activity; rarely did complete episodes closely resemble epileptic seizures.

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. I-NS-6–2340, from the National Institutes of Health, Public Health Service.

Accepted for publication June 18, 1981.

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