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Abstract

Simultaneous video-EEG monitoring has allowed pseudoseizures to be effectively diagnosed. Discussing the results of the monitoring with the patient is the 1st step in treatment. We outline a protocol for presenting the diagnosis of pseudoseizure with the goal of conveying to the patient the importance of knowing the nonepileptic nature of the spells and the need for psychiatric follow-up. The protocol also allows elicitation of a sexual abuse history and the use of suggestion to aid in controlling the pseudoseizures.

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Published In

Neurology®
Volume 40Number 5May 1990
Pages: 756
PubMed: 2330101

Publication History

Published online: May 1, 1990
Published in print: May 1990

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Authors

Affiliations & Disclosures

Wayne Shen, MD
From Indiana University Medical Center, Indianapolis, IN.
Elizabeth S. Bowman, MD
From Indiana University Medical Center, Indianapolis, IN.
Omkar N. Markand, MD, FRCP(C)
From Indiana University Medical Center, Indianapolis, IN.

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Cited By
  1. A Case Report of Psychogenic Non-epileptic Seizures in a 29-Year-Old Male With Schizophrenia, Cureus, (2023).https://doi.org/10.7759/cureus.37078
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  2. Psychogenic Non-Epileptic Seizures (PNES), Epilepsy - Seizures without Triggers, (2023).https://doi.org/10.5772/intechopen.108418
    Crossref
  3. Crisi psicogene non epilettiche (funzionali/dissociative), EMC - Neurologia, 23, 1, (1-12), (2023).https://doi.org/10.1016/S1634-7072(22)47362-4
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  4. Diagnosis and management of functional neurological disorder, BMJ, (o64), (2022).https://doi.org/10.1136/bmj.o64
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  5. Functional Neurological Disorders, Neuroscience and Behavioral Physiology, 51, 9, (1228-1233), (2022).https://doi.org/10.1007/s11055-021-01184-1
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  6. Sleep Disturbances in Patients with Nonepileptic Seizures, Nature and Science of Sleep, Volume 13, (209-218), (2021).https://doi.org/10.2147/NSS.S289190
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  7. Functional neurological disorders, Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova, 121, 1, (98), (2021).https://doi.org/10.17116/jnevro202112101198
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  8. When neurologists diagnose functional neurological disorder, why don’t they code for it?, CNS Spectrums, 26, 6, (664-674), (2021).https://doi.org/10.1017/S1092852921000833
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  9. From epileptic hysteria to psychogenic non epileptic seizure: Continuity or discontinuity for contemporary psychiatry?, European Journal of Trauma & Dissociation, 5, 1, (100190), (2021).https://doi.org/10.1016/j.ejtd.2020.100190
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  10. Enhancing the communication of functional neurological disorder diagnosis: a multidisciplinary education session, European Journal of Neurology, 28, 1, (40-47), (2020).https://doi.org/10.1111/ene.14525
    Crossref
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