Neurology Book

Cognitive Disorders

Seizure Disorders

  • Psychogenic Nonepileptic Seizure

http://www.fpnotebook.com/

Psychogenic Nonepileptic SeizureAka: Psychogenic Seizure, Hysterical Seizure, Pseudoseizure

Advertisement

  1. See Also
    1. Nonepileptic Seizure
  2. Causes
    1. Anxiety Disorder
      1. Panic Attacks
      2. Post-Traumatic Stress Disorder
    2. Hypochondriasis
    3. Somatization
    4. Conversion Disorder
    5. Acute stress response
  3. Signs
    1. Atypical Seizure motor activity
      1. Asymmetric arm and leg movement
      2. Pelvic thrusting
      3. Head turning from side to side
      4. Dystonic posture
      5. Eyes closed and resists eyelid movement
      6. Tongue biting limited to tip of Tongue
      7. Avoidance during Seizure
    2. Atypical Seizure timing
      1. Gradual onset and last 2-3 minutes
      2. Waxing and waing course
      3. Recur frequently
      4. Emotional or situational triggers
      5. Postictal crying
  4. Differential Diagnosis
    1. See Nonepileptic Seizure
    2. Atypical epileptic Seizures
      1. Frontal Lobe Seizure
        1. Atypical motor and verbal activity
        2. Often occur during sleep and brief duration
      2. Gelastic Seizure (laughs during Seizure)
      3. Myoclonic Seizurez
  5. Diagnosis: Inpatient Video EEG
    1. Typical Seizure as confirmed by witnesses of Seizure
    2. No corresponding EEG abnormalities
  6. Clinical findings that do not identify Seizure disorder
    1. Postictal serum Prolactin
    2. Tongue-biting, self-injury or Incontinence
    3. Psychological Testing
    4. Outpatient Electroencephalogram

Dissociative convulsions (C0349245)

ConceptsMental or Behavioral Dysfunction (T048)
EnglishDissociative convulsions, Dissociative seizures, Factitious seizures, Hysterical fit, Hysterical seizures, Pseudoseizures, Sham seizures
Spanishconvulsiones disociativas, crisis convulsivantes disociativas, crisis histerica
Parent ConceptsDissociative disorder (C0012746), Factitious Disorders (C0015480), Duplicate concept (C1274013)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree