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[Pseudoepileptic seizures in children]
P V Uldall1, L S Berg, J Alving
1Epilepsihospitalet, Dianalund.
Insights
Pseudoepileptic seizures (pseudoseizures) are behavioral disturbances without abnormal EEG activity. In children, family communication issues may contribute to pseudoseizure development, requiring tailored treatment approaches.
Area of Science:
- Neurology
- Child Psychology
- Psychiatry
Background:
- Pseudoepileptic seizures (PS) are episodic behavioral disturbances mimicking epileptic seizures but lacking EEG abnormalities.
- While common in epilepsy patients, PS can also be the sole functional disturbance.
- Pathogenesis of PS in children remains less understood compared to adults.
Abstract:
Pseudoepileptic seizures (pseudoseizures) are defined as episodic disturbances of behaviour with elements of epileptic seizures, but with atypical features and not accompanied by abnormal EEG discharges. They are frequently seen in patients with epilepsy, but also as the only disturbance of function. In children, the possible pathogenetic mechanisms are less understood than in adults. We present a series of cases, showing that an important factor in development of pseudoseizures lies in disturbances of communication between children and parents within the family. However, there are large interindividual variations in the most probable underlying mechanisms. Some recommendations as regards treatment are given.