Epilepsy Behav 2020 01 20;102:106642. Epub 2019 Nov 20.
Weill Cornell Medicine, Department of Psychiatry, 1300 York Avenue, New York, NY 10065, United States; New York-Presbyterian Hospital Westchester Division, 21 Bloomingdale Road, White Plains, NY 10605, United States.
Psychogenic nonepileptic seizures (PNES) are challenging clinical occurrences consisting of any combination of altered movement, sensation, or awareness that resemble epileptic seizures (ES) but do not coincide with electrographic ictal discharges and are presumed to be neuropsychiatric-neurobehavioral in origin. Securing the PNES diagnosis is a crucial first step and is best confirmed by recording events on video-electroencephalogram (v-EEG) and finding an absence of ictal EEG changes and the presence of normal awake EEG rhythms before, during, and after the event. However, obstacles to timely diagnosis and referral to psychiatric treatment frequently occur, placing these patients at risk for harm from unnecessary medications and procedure as well as placing high burden on medical systems. Read More