1994
DOI: 10.1111/j.1528-1157.1994.tb02509.x
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Provocation of Nonepileptic Seizures by Suggestion in a General Seizure Population

Abstract: Nonepileptic seizures (NES) are common and are often diagnosed at epilepsy centers by video-EEG recording of both spontaneous and suggestion-induced episodes, but no study has evaluated provocative testing in a general seizure population. We studied consecutive patients with a tentative diagnosis of epilepsy using saline provocation during video-EEG recording, suggesting that this could produce a typical seizure. Of 52 patients, 40% had no response, 23% had responses unlike their seizures, and 37% had typical … Show more

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Cited by 60 publications
(26 citation statements)
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“…The early occurrence of PNEE may reflect the fact that such patients are highly suggestible, a phenomenon observed by other investigators (16,23,30). Indeed, on the day of admission to our monitoring unit, we provide every patient a detailed explanation of what VEEG consists of, emphasizing the fact that the ultimate goal is the recording of a typical "seizure.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The early occurrence of PNEE may reflect the fact that such patients are highly suggestible, a phenomenon observed by other investigators (16,23,30). Indeed, on the day of admission to our monitoring unit, we provide every patient a detailed explanation of what VEEG consists of, emphasizing the fact that the ultimate goal is the recording of a typical "seizure.…”
Section: Discussionmentioning
confidence: 99%
“…Three of the 40 patients with PNEE had events different from those that motivated the study. Bazil et al (23) studied the induction with saline in a general seizure population. Of 52 patients, 40% had no response, 23% had atypical events, and 37% had a typical event.…”
Section: Discussionmentioning
confidence: 99%
“…The origins of NES include a wide variety of psychogenic and physiologic disorders (1). NES are common, accounting for between 10-20% of all inpatient hdeo-EEG monitoring unit admissions (2,3), and up to 37% of patients diagnosed with possible epilepsy in a city hospital general neurology clinic (4).…”
Section: Nonepileptic Seizures After Head Injurymentioning
confidence: 99%
“…Psychogenic nonepileptic seizures (NESs, also known as pseudoseizures, or psychogenic or hysterical seizures) are clinical events that resemble epileptic attacks but are unassociated with physiologic central nervous system dysfunction (1,2). Although an abundant literature (3)(4)(5)(6)(7)(8) focuses on the clinical distinctions between epileptic and NESs, relatively few studies have examined outcomes in patients with NESs ( Table 1).…”
mentioning
confidence: 99%