Treating someone with pseudoseizures as if they have epileptic seizures can be very dangerous. NO! The treatment will be different if the patient isn’t suffering from epileptic seizures. With video EEG, the physician is able to view all of the symptoms that are associated with the attack/seizure to help determine the diagnosis. Increase of heart rate up to 30% during episode Mouth is usually open during epileptic seizureīeing distracted by loud noise or stimulus during episodeĭuring epileptic convulsion the patient should not startle or respond during an eventĮpileptic seizure typically leaves patient somnolent or confused for a period of time This would represent diffuse cortical involvement and the patient would not be able to communicate during an epileptic episode involving all four extremities Wild thrashing, side to side head movements and yelling during these episodes Pseudoseizure/Psychogenic nonepileptic seizure activity Keep in mind these are not present in every case. Below are just a few differences between the two. There are many differences in the presence of epileptic vs. With the video EEG the physician is able to view the video of the activity as well as the brain during the actual attacks/seizure activity. An EEG alone is helpful, but can often be normal in people with proven epilepsy. OBSERVATION seems to be the best way to diagnose pseudoseizures in addition to video EEG monitoring. How is Pseudoseizure or PNES Diagnosed Over Epileptic Seizures? With the causes listed above, treating the patient’s underlying condition is the key to getting control of the attacks. Anger repression or anger management issues.Attention deficit hyperactivity disorder (ADHD).History of trauma or witnessing trauma (PTSD).History of sexual or physical abuse (PTSD).Conversion disorder (medical condition where the brain and body’s nerves are not able to send and receive signals properly).These PNES appear to be epileptic seizures and a clear diagnosis is necessary for appropriate treatment. One physician during this research had stated that this term should be regarded as jargon, but as coders, we still see “pseudoseizures” documented by physicians daily. The term “pseudoseizures” is an older term that is still used today to describe psychogenic nonepileptic seizures (PNES). These are difficult to diagnose and oftentimes extremely difficult for the patient to comprehend. Pseudoseizures are a form of non-epileptic seizure.
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