Pseudoseizure manifestations in two preschool age children

We report two patients with epilepsy with pseudoseizures at age 6 years. Both presented with intractable staring spells. Pseudoseizures were provoked and aborted by suggestion, leading to the diagnosis. In both patients, evidence of a neuropsychological disturbance was later found and psychotherapy...

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Bibliographic Details
Published in:Seizure (London, England) England), 1995-06, Vol.4 (2), p.147-149
Main Authors: Carmant, L., Kramer, U., Mikati, M.A., Riviello, J.J., Helmers, S.L., Holmes, G.L.
Format: Article
Language:English
Subjects:
Anticonvulsants - adverse effects
Anticonvulsants - therapeutic use
Brain Damage, Chronic - diagnosis
Brain Damage, Chronic - drug therapy
Brain Damage, Chronic - psychology
Child
Child, Preschool
children
Diagnosis, Differential
Drug Therapy, Combination
Epilepsy - diagnosis
Epilepsy - drug therapy
Epilepsy - psychology
Epilepsy, Frontal Lobe - diagnosis
Epilepsy, Frontal Lobe - drug therapy
Epilepsy, Frontal Lobe - psychology
Epilepsy, Generalized - diagnosis
Epilepsy, Generalized - drug therapy
Epilepsy, Generalized - psychology
Female
Humans
Male
pseudoseizures
Seizures - diagnosis
Seizures - drug therapy
Seizures - psychology
Somatoform Disorders - diagnosis
Somatoform Disorders - drug therapy
Somatoform Disorders - psychology
Suggestion
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Summary:We report two patients with epilepsy with pseudoseizures at age 6 years. Both presented with intractable staring spells. Pseudoseizures were provoked and aborted by suggestion, leading to the diagnosis. In both patients, evidence of a neuropsychological disturbance was later found and psychotherapy started. Monitoring of intractable staring episodes is recommended prior to escalating antiepileptic drug levels or resorting to polytherapy. In addition, differentiation from other non-epileptic phenomena is necessary to initiate proper therapy.
ISSN:1059-1311
1532-2688
DOI:10.1016/S1059-1311(95)80096-4