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From the Columbus Childrens Hospital, Section of Neurology, Columbus, OH.
Address correspondence and reprint requests to Dr. Ann Pakalnis, Section of Neurology, Childrens Hospital, 700 Childrens Drive, Columbus, OH 43205.
The authors studied six children with repetitive psychogenic seizures severe enough to mimic status epilepticus. All received IV antiepileptic drugs in an emergency setting. Most had a family history of epilepsy. Affective and anxiety disorders predominated as comorbid psychiatric diagnoses. Acutely stressful situations precipitated all episodes of nonepileptic status epilepticus. With aggressive psychotherapeutic intervention and pharmacologic treatment of their underlying psychiatric diagnosis, the patients improved.
Key words: NeuropsychologyPediatric epilepsyPseudoseizuresStatus epilepticus
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