Differentiating frontal lobe epilepsy from psychogenic nonepileptic seizures
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Updated: Jun 5, 2026

Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
Published on: September 20, 2024
W Curt LaFrance1, Selim R Benbadis
1Division of Neuropsychiatry and Behavioral Neurology, Rhode Island Hospital, 593 Eddy Street, Potter 3, Providence, RI 02903, USA. william_lafrance_Jr@brown.edu
Abstract:
Patients with psychogenic nonepileptic seizures (PNES) remain one of the most challenging patient populations. The misdiagnosis of PNES is costly to patients, the health care system, and to society. The first step in treatment is proper diagnosis. Video electroencephalography remains the gold standard for PNES diagnosis. Differentiating frontal lobe epilepsy (FLE) from PNES can be difficult; however, clinical findings and laboratory advances are emerging that more clearly establish the diagnosis of PNES. This article provides clues to differentiating FLE from PNES so that neurologists and mental health providers are better equipped to offer treatments for PNES.
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