Bizarre ictal automatisms: Frontal lobe epileptic or psychogenic seizures?

Autor: David G. Vossler, Paul M. Thompson, Robert J. Wilkus
Rok vydání: 1990
Předmět:
Zdroj: Journal of Epilepsy. 3:207-213
ISSN: 0896-6974
DOI: 10.1016/0896-6974(90)90048-4
Popis: Frontal lobe complex partial seizures (FLCPS) may be difficult to distinguish clinically from psychogenic seizures (PS). We analyzed videotaped seizures of two patients with proven FLCPS and two patients whose PS resembled the FLCPS. Special attention was directed to the overall duration of attacks and the sequence and time course of their individual clinical manifestations. We found that the seizures of each of the FLCPS patients had quite stereotyped clinical features, but that the seizures of each PS patient were more varied in appearance. Each patient's FLCPS were brief, and each seizure had the same clinical signs that appeared and disappeared over similar sequences and time courses. In contrast, the PS of each patient varied from brief to long, and individual clinical signs varied not only from attack to attack but also in order of appearance and duration. Additional studies are needed to determine whether or not stereotyped clinical features can be used to reliably identify FLCPS and differentiate them from PS.
Databáze: OpenAIRE