Psychogenic non epileptic seizures

Question 1

What is the definition of psychogenic NES?

Answer 1

epileptic-like seizures but do not have characteristic electrical discharges

patients may have a history of mental health problems or a personality disorder

Question 2

Features of non epileptic seizure? (5 physical features)

Answer 2

1. asynchronous
2. contorted (back arching, pelvic thrusting)
3. eyes resist being opened
4. tongue biting less likely
5. longer duration
6. fluctuates (slows down and increases).
7. Can be tearful/stressed after

Question 3

Duration of non epileptic seizure

Answer 3

1. Longer

2. Waxes and wanes

Question 4

How to differentiate between epileptic seziures?

Answer 4

1. Tongue biting
2. Raised serum prolactin

• ALL TRUE IN EPILEPTIC SEIZURES