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Related Experiment Videos

Psychogenic non-epileptic seizures.

S Kumar1

  • 1Neurology Unit, Department of Neurological Sciences, Christian Medical College Hospital, Vellore, Tamilnadu- 632 004, India. drsudhirkumar@yahoo.com

Indian Pediatrics
|November 4, 2004
PubMed
Summary

Diagnosing psychogenic non-epileptic seizures (PNES) requires careful differentiation from epileptic seizures. Video-EEG monitoring is crucial for accurate diagnosis, even when symptoms mimic epilepsy.

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Area of Science:

  • Neurology
  • Pediatrics
  • Clinical Neurophysiology

Background:

  • Accurate diagnosis of psychogenic non-epileptic seizures (PNES) is critical as management differs from epileptic seizures.
  • Clinical features like tongue biting, falling, and urinary incontinence are traditionally associated with epileptic seizures.

Observation:

  • Two pediatric cases presented with symptoms suggestive of epileptic seizures.
  • These children were ultimately diagnosed with PNES.

Findings:

  • Video-electroencephalogram (EEG) monitoring was instrumental in differentiating PNES from epileptic seizures.
  • The study highlights that seemingly typical epileptic seizure features can occur in PNES.

Implications:

  • This case series underscores the importance of video-EEG monitoring in diagnosing challenging seizure presentations.
  • It emphasizes the need to consider PNES even in the presence of classic epileptic seizure indicators.

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