• Users Online: 212
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2022  |  Volume : 39  |  Issue : 3  |  Page : 126-131

Comparison of semiologic characteristics of psychogenic nonepileptic seizures and frontal and temporal lobe seizures


1 Department of Neurology, Faculty of Medicine, Ufuk University, Ankara, Turkey
2 Department of Public Health, Faculty of Medicine, Cukurova University, Adana, Turkey
3 Department of Neurology, Ankara City Hospital, Ankara, Turkey

Correspondence Address:
Kubra Isik
Department of Neurology, Ufuk University Faculty of Medicine, Boulevard Mevlana (Konya Rd) 86-88 Balgat, Ankara 06520
Turkey
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/nsn.nsn_4_22

Rights and Permissions

Introduction: Video electroencephalography monitoring (VEM) is the gold standard for differentiating epileptic seizures and psychogenic nonepileptic seizures (PNES). This study aimed to compare the semiologic characteristics of PNES and frontal and temporal seizures. Materials and Methods: This study was conducted retrospectively on the records of patients aged over 18 years with PNES and frontal and temporal lobe seizures, who were followed up as inpatients in the Ufuk University Neurology Clinic VEM unit between 2016 and 2020. Seventy-two patients who met the study criteria and were hospitalized during this period were included in the study. The preictal, ictal, and postictal semiologic characteristics of the patients were examined and compared in terms of the seizure type. Results: Of the 72 patients included in the study, 29.2% had PNES, 15.3% had frontal lobe epilepsy, and 41.7% had temporal lobe epilepsy. The mean age of the patients was 32.74 ± 9.84 years. In patients with PNES, frequent semiologic changes, frequent medical visits, ability to execute commands, remembering test words, forced eye closure, subjective sensory symptoms, ictal crying, tremor in extremities, gradual onset, fluctuating course, postictal pseudo-sleep, pelvic thrusting movement, and arrhythmic synchronous extremity movement manifestations were determined to be significantly higher compared with frontal and temporal lobe epilepsies. Conclusion: Seizure semiology is important in the differential diagnosis of epileptic seizures and PNES. VEM remains the gold standard for differentiating PNES and epileptic seizures.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed690    
    Printed14    
    Emailed0    
    PDF Downloaded89    
    Comments [Add]    

Recommend this journal