Psychogenic seizures

Introduction
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By John M Stern MD

Psychogenic seizures are also known as or subsume Pseudoseizures and Nonepileptic seizures. –ed

Psychogenic seizures often challenge even experienced epilepsy experts in their diagnosis because of their behavioral overlap with epileptic seizures and their potential comorbidity with epilepsy. Once diagnosed, they pose the additional challenges of understanding their cause and providing effective treatment. In a review by Dr. John Stern of UCLA, the fundamental clinical aspects of psychogenic seizures are surveyed, including issues of differential diagnosis, prognosis, and management.

Key points

• Psychogenic nonepileptic seizures mimic epileptic seizures and often result in misdiagnosis as epilepsy.
• Psychogenic seizures are involuntary and often disabling.
• Accurate diagnosis of psychogenic seizures leads to more appropriate and effective healthcare resource utilization.

In This Article

Introduction
Historical note and nomenclature
Clinical manifestations
Clinical vignette
Etiology
Pathogenesis and pathophysiology
Epidemiology
Prevention
Differential diagnosis
Diagnostic workup
Prognosis and complications
Management
Pregnancy
References cited
Contributors