title: Pitfalls in the diagnosis of new-onset frontal lobe seizures.
abstract: We reported the case of a young woman who received an antiepileptic drug after a first possible generalized tonic-clonic seizure with no clear inter-ictal epileptic paroxysms in the routine electroencephalogram. Her stereotypical movements decreased but did not disappear with treatment. Then a diagnosis of PNES was considered by neurologist after witnessing a stereotypical motor episode. While AED treatment was decreased and stopped, epileptic seizure frequency and severity increased with secondary generalized tonic-clonic seizures. Then she presented postictal psychotic features that combined with video-EEG findings led to the final diagnosis of new onset pre-frontal lobe epilepsy.
authors: Service médico-psychologique régional, Metz, France.
authors: S
authors: S
authors: Bourion-Bédès
authors: Central Hospital of Nancy, Department of Neurology, Nancy Cedex, France ; University Hospital of Psychiatrie and Psychothérapie, Laxou, France.
authors: C
authors: C
authors: Hingray
authors: University Hospital of Psychiatrie and Psychothérapie, Laxou, France.
authors: H
authors: H
authors: Faust
authors: Central Hospital of Nancy, Department of Neurology, Nancy Cedex, France.
authors: J P
authors: JP
authors: Vignal
authors: Central Hospital of Nancy, Department of Neurology, Nancy Cedex, France ; CRAN, UMR 7039, CNRS, France ; Faculty of Medecine, University of Lorraine, Nancy, France.
authors: H
authors: H
authors: Vespignani
authors: University Hospital of Psychiatrie and Psychothérapie, Laxou, France ; Faculty of Medecine, University of Lorraine, Nancy, France.
authors: R
authors: R
authors: Schwan
authors: Central Hospital of Nancy, Department of Neurology, Nancy Cedex, France.
authors: J
authors: J
authors: Jonas
authors: Central Hospital of Nancy, Department of Neurology, Nancy Cedex, France ; CRAN, UMR 7039, CNRS, France ; Faculty of Medecine, University of Lorraine, Nancy, France.
authors: L
authors: L
authors: Maillard
keywords: Frontal lobe epilepsy; Misdiagnosis; Psychogenic nonepileptic seizure