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Psychogenic status epilepticus induced by a provocative technique
G C Ney1, C Zimmerman, N Schaul
1Department of Neurology, Long Island Jewish Medical Center, New Hyde Park, NY 11042, USA.
Neurology
|February 1, 1996
Summary
Provocative techniques for diagnosing psychogenic seizures can cause agitation and sustained seizures. Clinicians must use these methods selectively and be prepared for potential complications.
Area of Science:
- Neurology
- Psychiatry
- Clinical Medicine
Background:
- Psychogenic seizures, also known as functional seizures, are a diagnostic challenge.
- Provocative techniques are sometimes used to aid in the diagnosis of psychogenic seizures.
Observation:
- A patient developed sustained psychogenic seizures following a provocative technique.
- The patient experienced severe agitation during the diagnostic procedure.
Findings:
- The provocative technique, intended for diagnosis, resulted in a prolonged seizure event.
- This case highlights a potential adverse outcome of using provocative techniques.
Implications:
- Provocative techniques for diagnosing psychogenic seizures carry risks and should be applied judiciously.
- Healthcare providers need to be prepared to manage agitation and potential sustained seizures as complications.
- Selective use and preparedness are crucial for patient safety during diagnostic procedures for psychogenic seizures.