Work

Teaching Video Neuro Images : Complex partial seizure evolving into a psychogenic nonepileptic seizure

Year: 2010

Type: article

Abstract: An 11-year-old, right-handed girl was admitted for video-EEG monitoring of nocturnal paroxysms consisting of eye opening, groans, right arm shaking, and altered consciousness (see video on the Neurology ® Web site at www.neurology.org).Ictal video-EEG suggested a left frontal seizure; subsequent behavioral disturbances including dysrhythmic right arm shaking and confusion continued without electrographic correlate (figure).Although epileptic and nonepileptic seizures frequently coexist, this case illustrates the rare direct evolution of a complex partial epileptic seizure into a nonepileptic seizure and highlights the importance of video-EEG monitoring in discerning epileptic from nonepileptic events. 1 Ictal activation or disinhibition of emotional neural circuitry is one proposed mechanism for this phenomenon.

Source: Neurology

DOI: 10.1212/wnl.0b013e31820203db

Authors: David L. Perez, Amit Haldar, Alexander Rotenberg, Sanjeev V. Kothare

Institutions: Brigham and Women's Hospital, Boston Children's Hospital, Massachusetts General Hospital

Language: English

Topic: Epilepsy research and treatment

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4241242520