psychogenic seizure

psy·cho·gen·ic sei·zure

a clinical spell that resembles an epileptic seizure, but is not due to epilepsy. The EEG is normal during an attack, and the behavior is often related to psychiatric disturbance, such as a conversion disorder.

psychogenic seizure

A specific type of seizure regarded as a conversion symptom, which occurs when a person cannot directly express distress; patients are not consciously aware of the conversion symptoms, nor do they intentionally produce them. The seizures may be accompanied by somatic symptoms, which serve several purposes for the patient—e.g., communication, secondary gain, conflict resolution, expression of hostility and others.

Clinical findings
Frequent seizures despite therapeutic levels of anti-epileptic medication, prolonged duration (more than 5 minutes), wild movements, pelvic thrusting, fluctuating intensity, resolution of symptoms with distraction, nonphysiologic spread of symptoms, crying, bilateral motor activity with preserved consciousness, lack of post-ictal confusion or lethargy.

Prognosis
• Good—if female, of higher intelligence, independent lifestyle, no prior psychotherapy, normal EEG.
• Poor—if accompanied by epilepsy or seizure activity, history of psychiatric disorders, unemployed.

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.
References in periodicals archive ?
The differential diagnosis of epileptic seizure and psychogenic seizure is the common area of interest of neurology and psychiatry.
A co-diagnosis of dissociative disorder related with trauma is observed in approximately half of the patients with psychogenic seizure.
Incidence of psychogenic seizures in adults: A population-based study in Iceland.
12] This approach seems reasonable in our setting, but also implies that we are underutilising this resource (especially in the patient group where status epilepticus or non-epileptic psychogenic seizures are suspected).
Predictive value of induetion of psychogenic seizures by suggestion.
Improved health care resource utilization following video-EEG-confirmed diagnosis of nonepileptic psychogenic seizures.
coordination disturbance, psychogenic seizures, akinesia, (84) dyskinesia); (85) or
5) The sexual abuse of females during childhood is particularly damaging and is highly correlated with increased physical symptoms, (4) somatization and dissociation, (9,10) substance abuse, (5,6,10) psychogenic seizures, (11-13) chronic fatigue, (14,15) posttraumatic stress disorder, (16,17) bladder dysfunction, headaches, asthma, diabetes, heart disease, (14) depression, (3) as well as other lifelong psychopathologies.
Predictive Value of Induction of Psychogenic Seizures by Suggestion," Annals of Neurology 35, no.
They first cited the frequency of non-epileptic psychogenic seizures in epileptic patients and then presented some clinical clues.
11,14] Psychogenic seizures most commonly occur in adults but also can be seen in adolescents and even in children as young as 6 years of age.
Over the years, a variety of terms has been used in the literature to describe these events: pseudoseizures, psychogenic seizures, hysterical epilepsy, pseudoepileptic seizures, or functional seizures.