Epileptic seizures followed by nonepileptic manifestations: a video-EEG diagnosis.
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.


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.
Papacostas
S S
SS
Department of Neurology, The Cyprus Institute of Neurology & Genetics, P.O. Box 23462, 1683 Nicosia, Cyprus. savvas@cing.ac.cy
Myrianthopoulou
P
P
Papathanasiou
E
E
D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012640:Seizures / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D014741:Video Recording