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Published on: February 10, 2020
Epileptic seizures followed by nonepileptic manifestations: a video-EEG diagnosis
S S Papacostas1, P Myrianthopoulou, E Papathanasiou
1Department of Neurology, The Cyprus Institute of Neurology & Genetics, P.O. Box 23462, 1683 Nicosia, Cyprus. savvas@cing.ac.cy
Objective:
To present and discuss a case of a woman who for many years was presumed to have nonepileptic seizures (NES), but proved to actually have both electrical and non-electrical seizures, the latter occurring in a close temporal association with the former. To also discuss the seimiology her true as well as NES and compare to other cases identified from a literature review on this subject.
Materials And Methods:
Closed-circuit video-EEG monitoring was performed in order to capture and subsequently analyse the patient's events.
Results:
During video-EEG monitoring, she proved to have short electrical seizures followed by psychogenic elaborations. Her NES had obscured her true seizures for a number of years.
Conclusions:
Psychogenic elaboration of an epileptic seizure (ES) may occur in the same patient and the latter may obscure the former. The use of video-EEG monitoring may delineate the correct diagnosis and help clarify the relationship of the two types of events.
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