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  • Title: Epileptic seizures followed by nonepileptic manifestations: a video-EEG diagnosis.
    Author: Papacostas SS, Myrianthopoulou P, Papathanasiou E.
    Journal: Electromyogr Clin Neurophysiol; 2006 Nov; 46(6):323-7. PubMed ID: 17147073.
    Abstract:
    OBJECTIVE: To present and discuss a case of a woman who for many years was presumed to have nonepileptic seizures (NES), but proved to actually have both electrical and non-electrical seizures, the latter occurring in a close temporal association with the former. To also discuss the seimiology her true as well as NES and compare to other cases identified from a literature review on this subject. MATERIALS AND METHODS: Closed-circuit video-EEG monitoring was performed in order to capture and subsequently analyse the patient's events. RESULTS: During video-EEG monitoring, she proved to have short electrical seizures followed by psychogenic elaborations. Her NES had obscured her true seizures for a number of years. CONCLUSIONS: Psychogenic elaboration of an epileptic seizure (ES) may occur in the same patient and the latter may obscure the former. The use of video-EEG monitoring may delineate the correct diagnosis and help clarify the relationship of the two types of events.
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