Pseudoseizure

Notes: Image for display only. Taken from this [link]

- Also known as psychogenic seizure and currently coined as Non epileptic attack disorder (NEAD)
- common in females than males
- commoner in adolescence and early childhood

- divided into two broad types
a)attack involving motor phenomena
b) attack of lying motionless


How to recognize
a) Clinical
b) Video-EEG recording


Clinically suggested features
1) Triggers (frustration, suggestion, in company)
2) Duration (prolong)
3) Erratic movement (flailing, pelvic thrusting)
4) Physical (remaining pink and breathing, resist eye opening and eye contact, prompt recovery)


** The latter type often prolonged, continue for several minutes or sometimes hours..


Reference: Concensus Guidelines on the Management of Epilepsy 2010