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NEUROLOGY 2003;61:1791-1792
© 2003 American Academy of Neurology
Brief Communications

Frequency of epilepsy in patients with psychogenic seizures monitored by video-EEG

R. Martin, PhD, J.G. Burneo, MD, A. Prasad, MD, T. Powell, MD, E. Faught, MD, R. Knowlton, MD, M. Mendez, MD and R. Kuzniecky, MD

From the Department of Neurology (Drs. Martin, Burneo, Prasad, Powell, Faught and Knowlton), UAB Epilepsy Center, University of Alabama at Birmingham; Comprehensive Epilepsy Center (Drs. Kuzniecky and Mendez), New York University Medical Center, New York, NY.

Address correspondence and reprint requests to Dr. Roy C. Martin, University of Alabama at Birmingham, Department of Neurology, UAB Epilepsy Center, 312 Civitan International Research Center, Birmingham, AL 35294-0021; e-mail: rmartin{at}uab.edu

This study examined the frequency of epilepsy in a consecutive series of patients who received a definitive diagnosis of psychogenic nonepileptic seizures (PNES) after completing inpatient video-EEG (VEEG) monitoring. Of the 1,590 patients receiving definitive diagnosis, 514 (32.3%) were diagnosed with PNES. Twenty-nine (5.3%) of these patients were found to have both PNES and epilepsy. When strict diagnostic criteria are applied, there is little overlap between epileptic seizures and PNES among patients referred for VEEG monitoring.

Received March 18, 2003. Accepted in final form August 20, 2003.




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