Differentiating epileptic seizures and pseuodseizures

In a study of 120 events from 35 consecutive patients referred for video electroencephalography (VEEG) monitoring:

Video-documented predictors of psychogenic nonepileptic seizures were:

  • “preserved awareness,” “eye flutter,” and “bystanders can intensify or alleviate”)

Video-documented predictors of epileptic seizures were:

  • “abrupt onset,” “eye-opening/widening,” and postictal “confusion/sleep”

However, “eyewitness reports of these 6 signs were inaccurate and not statistically different from guessing.”

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