psychogenic seizure

psychogenic seizure

Hysterical fit, nonepileptic seizure A seizure regarded as a conversion Sx, seen when a person cannot directly express mental stress Clinical Frequent seizures despite adequate antiepileptic medication, prolonged duration–> 5 mins, wild movements, pelvic thrusting, fluctuating intensity, resolution of Sx with distraction, nonphysiologic spread of Sx, crying, bilateral motor activity with preserved consciousness, lack of post-ictal confusion or lethargy Prognosis Good, if ♀, of higher IQ, independent lifestyle, no prior psychotherapy, normal EEG; poor, if accompanied by seizures, Hx of psychiatric disorders, unemployed