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Case Reports
. 2006 Nov;46(6):323-7.

Epileptic seizures followed by nonepileptic manifestations: a video-EEG diagnosis

S S Papacostas  1 , P Myrianthopoulou, E Papathanasiou
Affiliations
  • PMID: 17147073
Case Reports

Epileptic seizures followed by nonepileptic manifestations: a video-EEG diagnosis

S S Papacostas et al. Electromyogr Clin Neurophysiol. 2006 Nov.

Abstract

Objective: To present and discuss a case of a woman who for many years was presumed to have nonepileptic seizures (NES), but proved to actually have both electrical and non-electrical seizures, the latter occurring in a close temporal association with the former. To also discuss the seimiology her true as well as NES and compare to other cases identified from a literature review on this subject.

Materials and methods: Closed-circuit video-EEG monitoring was performed in order to capture and subsequently analyse the patient's events.

Results: During video-EEG monitoring, she proved to have short electrical seizures followed by psychogenic elaborations. Her NES had obscured her true seizures for a number of years.

Conclusions: Psychogenic elaboration of an epileptic seizure (ES) may occur in the same patient and the latter may obscure the former. The use of video-EEG monitoring may delineate the correct diagnosis and help clarify the relationship of the two types of events.

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