Psychogenic status epilepticus.
A patient was brought to the Emergency Department in presumed status epilepticus. However, the seizure had many of the clinical characteristics that, in combination, were suggestive of a psychogenic event including asynchronous extremity movements, forward pelvic thrusting, and geotrophic eye movements. An arterial blood gas and serum electrolytes were normal despite one-half hour of tonic-clonic activity, and supported the diagnosis of a nonneurogenic event. The patient became conversant toward the end of the event, which confirmed that the seizure was nonepileptogenic.
Jagoda
A
A
Department of Emergency Medicine, University of Florida, Health Science Center, Jacksonville 32209, USA.
Richey-Klein
V
V
Riggio
S
S
D000328:Adult; D006801:Humans; D008297:Male; D011602:Psychophysiologic Disorders / Q000175:diagnosis*; D013226:Status Epilepticus / Q000523:psychology*