Psychogenic seizures mimicking juvenile myoclonic epilepsy: case reports.
We describe two patients with psychogenic seizures of rare semiology. Both patients (a 23-year-old man and a 26-year-old woman) attended the emergency department because status epilepticus with myoclonic seizures had been diagnosed. Seizures were documented with video-electroencephalography. Semiology of seizures were brief myoclonia of both arms resulting in a short elevation of both arms without impairment of consciousness. Ictal EEG registration was without abnormal finding. Psychiatric diagnostic assessment suggested a dissociative disorder and mild depression, respectively. During psychiatric treatment seizures occurred only rarely within a 3-5 months follow-up. One should be aware that juvenile myoclonic epilepsy may be mimicked by psychogenic seizures
Bauer
J
J
Department of Epileptology, University of Bonn, Germany.
Elger
C E
CE
D000328:Adult; D000927:Anticonvulsants / Q000008:administration & dosage; D003863:Depression / Q000175:diagnosis; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004213:Dissociative Disorders / Q000175:diagnosis; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D020190:Myoclonic Epilepsy, Juvenile / Q000175:diagnosis* / Q000503:physiopathology; D012640:Seizures / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D013226:Status Epilepticus / Q000175:diagnosis* / Q000503:physiopathology; D016896:Treatment Outcome
D000927:Anticonvulsants