Clinical Pediatric Emergency Medicine
Volume 9, Issue 2 , Pages 101-105 , June 2008

Pediatric Psychogenic Nonepileptic Seizures in the Emergency Department: Recognition and Interventions

  • Sigita Plioplys, MD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences at Feinberg School of Medicine, Northwestern University
    • Department of Child and Adolescent Psychiatry, Children's Memorial, Chicago, IL
    • Corresponding Author InformationReprint requests and correspondence: Sigita Plioplys, MD, Department of Child and Adolescent Psychiatry, Children's Memorial Hospital, 2300 Children's Plaza, Box # 10, Chicago, IL 60614.
    • ,
  • Linda C. Laux, MD

      Affiliations

    • Department of Pediatrics at Feinberg School of Medicine, Northwestern University
    • Epilepsy Center, Children's Memorial Hospital, Chicago, MD

References 

  1. American Psychiatric Association . Diagnostic and statistical manual of mental disorders, 4th edition, text revision (DSM-IV-TR). Washington, DC: American Psychiatric Association; 2000;
  2. Paolicchi JM. The spectrum of nonepileptic events in children. Epilepsia. 2002;43(Suppl 3):60–64
  3. Wyllie E, Glazer J, John P, et al. Psychiatric features of children and adolescents with pseudoseizures. Arch Pediatr Adolesc Med. 1999;153:244–248
  4. Metrick ME, Ritter FJ, Gates JR, et al. Nonepileptic events in childhood. Epilepsia. 1991;32:322–328
  5. Pakalnis A, Paolicchi J, Gilles E. Psychogenic status epilepticus in children: psychiatric and other risk factors. Neurology. 2000;54:969–970
  6. Selbst SM, Clancy R. Pseudoseizures in the pediatric emergency department. Pediatr Emerg Care. 1996;12(3):185–188
  7. Vincentiis S, Valente KD, Thomé-Souza S, et al. Risk factors for psychogenic nonepileptic seizures in children and adolescents with epilepsy. Epilepsy Behav. 2006;8:294–298
  8. Bhatia MS, Sapra S. Pseudoseizures in children: profile of 50 cases. Clin Pediatr. 2005;617–621
  9. Reuber M, Baker GA, Gill R, et al. Failure to recognize psychogenic nonepileptic seizures may cause death. Neurology. 2004;62:834–835
  10. Martin RC, Gilliam FG, Kilgore M, et al. Improved health care resource utilization following video-EEG–confirmed diagnosis of nonepileptic psychogenic seizures. Seizure. 1998;7:385–390
  11. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia. 1989;30:389–399
  12. Cavazzuti GB, Capella L, Nalin A. Longitudinal study of epileptiform EEG patterns in normal children. Epilepsia. 1980;21:43–55
  13. Kotagal P, Costa M, Wyllie E, et al. Paroxysmal non-epileptic events in children and adolescents. Pediatrics 2002;110(4):e46, 1-5.
  14. DiMario FJ. Breath-holding spells in childhood. Am J Dis Child. 1992;146:125–131
  15. Laux LC, Nordli DR. Epilepsy in infants and children. In:  Rakel RE,  Bope ET editor. Conn's Current Therapy. Elsevier Science; 2003;p. 970–978
  16. Kotagal S, Kristyna MH, Walsh JK. Characteristics of narcolepsy in preteenaged children. Pediatrics,. 1990;85:205–209
  17. Wise MS. Childhood narcolepsy. Neurology. 1998;50:37–42
  18. Bowman E. Etiology and clinical course of pseudoseizures: relationship to trauma, depression and dissociation. Psychosomatics. 1999;34:333–342
  19. Lugaresi E, Pazzaglia P, Tassinari CA. Differentiation of absence status and “temporal lobe status”. Epilepsia. 1971;12:77–87
  20. Devinsky O, Kelley K, Porter RJ, et al. Clinical and electroencephalographic features of simple partial seizures. Neurology. 1988;38:1347–1352
  21. Benbadis SR, Agrawal V, Tatum WO. How many patients with psychogenic nonepileptic seizures also have epilepsy?. Neurology. 2001;57:915–917

PII: S1522-8401(08)00025-6

doi: 10.1016/j.cpem.2008.02.004

Clinical Pediatric Emergency Medicine
Volume 9, Issue 2 , Pages 101-105 , June 2008

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