Overview

Publisher Summary Psychogenic seizures have been defined as a sudden episode of change in behavior or psychic state that is not associated with any identifiable physiological etiology. It has been estimated that approximately 20% of outpatients presenting to comprehensive epilepsy centers for evaluation have psychogenic seizures. The use of long-term EEG recording and video monitoring has been a significant advancement in the assessment of patients with both epileptic and nonepileptic seizures. Patients with psychogenic seizures represent a very heterogeneous group, and many factors may lead to the development of the symptom. It is found that when there is a high index of suspicion that the events being evaluated are likely to be psychogenic, it is critical to involve a mental health professional early in the evaluation. However, the major risk to a patient with psychogenic seizures is that of a psychological harm. A wide range of medical, neurologic, and psychiatric disorders can cause paroxysmal events that may resemble epilepsy. Patients with panic disorder experience the sudden and unexpected onset of numerous physical and emotional symptoms that may resemble a seizure. The discussion of the diagnosis with the patient and making recommendations for treatment are also emphasized.