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Psychogenic Nonepileptic Seizure

Aka: Psychogenic Nonepileptic Seizure, Psychogenic Seizure, Hysterical Seizure, Pseudoseizure
  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 LobeSeizure
        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)

Concepts Mental or Behavioral Dysfunction (T048)
ICD10 F44.5
SnomedCT 192425005, 276298008, 191714002
Dutch hysterische aanvallen, pseudo-epilepsie, aanval; hysterisch, convulsief (toeval door hysterie), convulsie; dissociatief, convulsie; hysterie, convulsie; hysterisch, dissociatief; convulsie, hysterie; convulsies, hysterisch; convulsie, hysterisch; toeval, toeval; hysterisch, Dissociatieve convulsies
French Crises d'hystérie, Pseudo-crise épileptique
German Pseudoanfall, hysterische Anfaelle, Dissoziative Krampfanfaelle
Italian Pseudo-crisi convulsiva, Attacchi isterici
Portuguese Pseudo-ataque, Ataques histéricos
Spanish Crisis histéricas, Pseudocrisis, Dissociative convulsions, convulsiones disociativas, crisis convulsivantes disociativas (trastorno), crisis convulsivantes disociativas, crisis histérica
Japanese ヒステリー発作, 偽発作, ﾋｽﾃﾘｰﾎｯｻ, ｷﾞﾎｯｻ
Czech Hysterické záchvaty, Pseudozáchvat
English Hysterical fits, Pseudoseizure, pseudoseizures, hysterical seizures, hysterical seizure, pseudoseizure, Dissociative convulsions, Dissociative seizures, Hysterical fit, Hysterical seizures, Pseudoseizures, Dissociative convulsions (disorder), Factitious seizures, Sham seizures, attack; hysterical, convulsive (hysterical seizure), convulsions; dissociative, convulsions; hysteria, convulsions; hysterical, dissociative; convulsions, fit; hysterical, hysteria; convulsions, hysterical; convulsions, hysterical; fit, seizure; hysterical, convulsive (hysterical seizure), seizure; hysterical
Korean 해리성 경련
Hungarian Hysteriás rohamok, Pseudogörcsroham
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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