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 ?
As detailed in the Methods section, the diagnosis was established using a plethora of important clinical data, such as psychiatric history, information about abusive experiences, details regarding the semiology of the seizures, and using, as well, a hypnotic protocol that induced a full-blown psychogenic seizure in front of the clinician in charge.
The differential diagnosis of epileptic seizure and psychogenic seizure is the common area of interest of neurology and psychiatry.
We excluded those with a diagnosis of nonepileptic psychogenic seizures, people with idiopathic and cryptogenic types, and all cases of pediatric age group.
Those with purely psychogenic seizures, uncertain diagnosis (for instance patients with a differential diagnosis of seizure vs.
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.
coordination disturbance, psychogenic seizures, akinesia, (84) dyskinesia); (85) or
Dissociative symptoms worsen prognosis, whether patients have conversion disorders (1) or psychogenic seizures (3) or are in psychotherapy.
Short-term outpatient EEG video with induction in the diagnosis of psychogenic seizures.
Psychogenic seizures and other nonepileptic paroxysmal events in children.
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.