Pseudoseizures

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Definition
Etiology/ Pathogenesis	Not known Not the result of an abnormal brain discharge. A result of psychological disturbance, usually involuntary, a form of conversion disorder.
Age of Onset	Usually between 10 and 18 years, girls more than boys.
Classic Presentation	The presentation of pseudoseizures is highly variable. The episodes may be similar to actual seizures, however have strange verbalizations, posturing, or unusual tonic or clonic movements. Pseudoseizures never present with cyanosis, loss of sphincter control, abnormal plantar responses or injury. Patients may present on several anticonvulsants, which are not working.
Rarer Symptoms	Moaning and crying during the seizure
Usual Course
Genetics
Groups at high risk
Diagnostic Testing	Normal serum prolactin Formal psych testing reveals neurotic personality EEG- normal brain activity, lots of muscle artifact
Differential	Seizures of all types Malingering
Treatment
Misc	A diagnosis of exclusion after EEG
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