Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Psychiatry


Answer 1
  1. Psychogenic nonepileptic seizures (NES). NES are paroxysmal disruptive changes in a person’s behavior that resemble epileptic seizures but are not associated with the characteristic electrophysiologic brain changes of epilepsy. NES are also referred to as “pseudoseizures” and, like epilepsy, they have no single cause. NES and epileptic seizures have similar observable manifestations, presenting with alterations in behavior, consciousness, or convulsions; no single clinical feature reliably distinguishes epileptic seizures from NES. NES must be distinguished from physiologic nonepileptic events (eg, febrile seizures, convulsive syncope secondary to cardiac arrhythmias, migraine variants, posttraumatic brain injury seizure, substance-induced seizures). Children may have nonepileptic paroxysmal behaviors, including mannerisms, staring spells, parasomnias, hyperventilation attacks, breath-holding spells, syncope, and movement disorders. These behaviors are seen in younger children with normal results on an electroencephalogram (EEG) and do not require psychiatric intervention for resolution.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj