Pseudoseizure manifestations in two preschool age children.
We report two patients with epilepsy with pseudoseizures at age 6 years. Both presented with intractable staring spells. Pseudoseizures were provoked and aborted by suggestion, leading to the diagnosis. In both patients, evidence of a neuropsychological disturbance was later found and psychotherapy started. Monitoring of intractable staring episodes is recommended prior to escalating antiepileptic drug levels or resorting to polytherapy. In addition, differentiation from other non-epileptic phenomena is necessary to initiate proper therapy.
Carmant
L
L
Department of Neurology, Children's Hospital, Harvard Medical School, USA.
Kramer
U
U
Mikati
M A
MA
Riviello
J J
JJ
Helmers
S L
SL
Holmes
G L
GL
D000927:Anticonvulsants / Q000009:adverse effects / Q000627:therapeutic use; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004827:Epilepsy / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D017034:Epilepsy, Frontal Lobe / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D004829:Epilepsy, Generalized / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D012640:Seizures / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D013404:Suggestion
D000927:Anticonvulsants