Similar semiology of epileptic and psychogenic nonepileptic seizures recorded during stereo-EEG

Karine Ostrowsky-Coste; Alexandra Montavont; Pascale Keo-Kosal; Marc Guenot; Claude-Edouard Chatillon; Philippe Ryvlin

doi:10.1016/j.seizure.2013.07.004

Similar semiology of epileptic and psychogenic nonepileptic seizures recorded during stereo-EEG

Seizure. 2013 Dec;22(10):897-900. doi: 10.1016/j.seizure.2013.07.004. Epub 2013 Aug 22.

Authors

Karine Ostrowsky-Coste¹, Alexandra Montavont, Pascale Keo-Kosal, Marc Guenot, Claude-Edouard Chatillon, Philippe Ryvlin

Affiliation

¹ Pediatric Epilepsy Department, Hôpital Femme-Mère-Enfant, HCL, 59 Boulevard Pinel, 69300 Lyon, France. Electronic address: karine.ostrowsky-coste@chu-lyon.fr.

PMID: 23972997
DOI: 10.1016/j.seizure.2013.07.004

Abstract

We report two adolescents with refractory seizure disorders in whom both epileptic and psychogenic nonepileptic seizures (PNES) were recorded with intracerebral EEG. The ictal phenomenology of epileptic seizures (ES) and PNES, consisting of hypermotor attacks in the first patient and left-sided painful episodes in the second patient, proved remarkably similar in both cases, highlighting the difficulties which can arise with the distinction of epileptic seizures and PNES based on ictal phenomenology alone.

Keywords: Adolescent; Epileptic seizure; Nonepileptic seizures; Stereo-EEG.

Publication types

Case Reports

MeSH terms

Adolescent
Brain / physiopathology*
Child
Conversion Disorder / diagnosis*
Conversion Disorder / physiopathology
Diagnosis, Differential
Electroencephalography
Epilepsy / diagnosis*
Epilepsy / physiopathology
Female
Humans
Male
Psychophysiologic Disorders / diagnosis*
Psychophysiologic Disorders / physiopathology
Seizures / diagnosis*
Seizures / physiopathology
Video Recording