A suggestive seizure induction technique protocol in a short EEG in children and adolescents

•Suggestive seizure induction procedures can improve diagnosis of psychogenic nonepileptic seizures in children and adolescents.•Suggestive seizure induction using a water-soaked cotton swab is an effective tool that can facilitate and accelerate the diagnosis of functional seizure.•Suggestive seizu...

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Bibliographic Details
Published in:Epilepsy & behavior 2023-08, Vol.145, p.109277-109277, Article 109277
Main Authors: Starczewska, Monika, Kaczmarek, Izabela, Winczewska-Wiktor, Anna, Żarowski, Marcin, Steinborn, Barbara
Format: Article
Language:English
Subjects:
Adolescent
Child
Children epilepsy
Conversion Disorder - psychology
Diagnosis, Differential
Differentiation diagnosis
Electroencephalography
Electroencephalography - methods
Epilepsy - psychology
Humans
Protocol
Psychogenic nonepileptic seizure
Seizures - diagnosis
Seizures - psychology
Suggestion
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Summary:•Suggestive seizure induction procedures can improve diagnosis of psychogenic nonepileptic seizures in children and adolescents.•Suggestive seizure induction using a water-soaked cotton swab is an effective tool that can facilitate and accelerate the diagnosis of functional seizure.•Suggestive seizure induction procedure is low-cost and safe. The use of a suggestive seizure induction procedure (SSI) in medicine, particularly in the differential diagnosis of psychogenic nonepileptic epileptic seizures (PNES), is well documented. However, there is no description of standardized suggestion procedures used in children and adolescents. The research presents a standardized method of SSI with a cotton swab soaked in water. The protocol was developed based on of 544 placebo trials over ten years in a center for the differential diagnosis of children and adolescents. The protocol is a safe tool that allows inducing specific behavior in children and adolescents in whom there is a well-founded suspicion of PNES.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2023.109277