The Etiology of Hysterical Seizures

Standage, Kevin

doi:10.1177/070674377502000112

Cited by 40 publications

(10 citation statements)

References 8 publications

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“…Likewise, Standage [23], in a review of EEGs of his 4 patients and 25 from the literature, reported 40% with abnormal EEGs. Three (10%) had paroxysmal discharges.…”

Section: Resultsmentioning

confidence: 94%

“…Standage [23] concluded that both brain damage and psychosocial factors are necessary for the development of hysterical attacks. A more reasonable explanation is that factors related to neurological disease may predispose a patient to hysterical attacks.…”

Section: Resultsmentioning

confidence: 99%

“…The differentiation of hysterical attacks (hysterical seizures [20,23,271, pseudoepileptic seizures [7], pseudoseizures [lOa, 12, 13, 16, 171, nonepileptic seizures [6], psychogenic seizures [111) and true cortical seizures, or epilepsy, is difficult and fraught with error. Although some authors have stressed that these behavioral episodes are rare [ 1,231, others [2 1, 24,261 report that they are common.…”

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confidence: 99%

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Hysterical seizures: Suggestion as a provocative EEG test

Cohen

Suter

1982

Annals of Neurology

124

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We studied 57 patients with poorly controlled or atypical seizures to identify hysterical attacks with a provocative test consisting of initiation and termination of an attack with suggestion and saline injection during electroencephalographic (EEG) monitoring. Using this method, we diagnosed 48 patients as having hysterical attacks. Three additional patients had spontaneous hysterical attacks during routine recordings. Of the 51 patients with hysterical attacks, 78% were female. Two-thirds of the patients were between the ages of 20 and 35 years. Thirty-two patients had taken anticonvulsants before the study. Each patient's hysterical attack, aura, and postictum was stereotyped, and the 6 patients subject to both hysterical and organic seizures described the two types of attacks as different stereotyped behaviors. Tongue laceration, urinary incontinence, and postictal confusion were common. Twelve patients had evidence of past or present neurological disease. Abnormal EEGs were recorded in 37% but only 12% had spike or spike and wave discharges. The provocative EEG test employing saline and suggestion is a useful tool in the diagnosis of hysterical "seizures."

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“…Likewise, Standage [23], in a review of EEGs of his 4 patients and 25 from the literature, reported 40% with abnormal EEGs. Three (10%) had paroxysmal discharges.…”

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Hysterical seizures: Suggestion as a provocative EEG test

Cohen

Suter

1982

Annals of Neurology

124

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“…In a review of 25 PNES cases, Standage (1975) found that 84% were women; Scott (1982) reported a 94% incidence. Most studies have replicated a preponderance of women among PNES patients, with a range between a low of 53% (Binder et al, 1998) and a high of 92% (Bowman, 1993).…”

Section: Gendermentioning

confidence: 99%

Demographic and Seizure Variables, But Not Hypnotizability or Dissociation, Differentiated Psychogenic from Organic Seizures

Litwin¹,

Cardeña²

2001

Journal of Trauma & Dissociation

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ABSTRACT. Early detection and differential diagnosis of psychogenic non-epileptic seizures (PNES) and epileptic seizures (ES) is a major clinical issue in comprehensive epilepsy centers. Using blind conditions with patients with PNES (N = 10) and ES (N = 31) before diagnosis, we tested the hypotheses that individuals with PNES would exhibit significantly greater dissociativity, hypnotizability, absorption, and history of early abuse than ES patients. Although PNES patients tended to show greater dissociative phenomena, only the last of our hypotheses was fully supported. Although absorption did not discriminate between the two diagnostic groups, it was significantly higher among those reporting early abuse. A logistic regression analysis using scores on dissociation, hypnotizability and absorption showed them to be poor predictors of diagnosis; however, other analyses revealed that female gender, reports of multiple trauma incidents lasting months or years, initial seizure onset in late teens or twenties, and daily seizure attacks significantly differentiated PNES from ES patients. Thus, demographic and seizure variables proved to be much better predictors of diagnosis Richard Litwin is in Private Practice, Cleveland, OH.

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“…Some evidence suggests that a number of patients diagnosed as having pseudoseizures have underlying neurological problems (Donat & Wright, 1990;Fenton, 1986;Roy, 1977;Standage, 1975;Wilkus, Dodrill & Thompson, 1984). Most Krapf, 1957;Williams, Gold, Shrout, Shaffer & Adams, 1979).…”

Section: Etiologymentioning

confidence: 99%

Pseudoseizures in Social and Cultural Context

Yeh¹

1996

Transcultural Psychiatric Research Review

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Pseudoseizures remain a common form of conversion symp tom worldwide, particularly among patients with co-existing epilepsy. This paper reviews current biomedical diagnostic and therapeutic approaches to pseudoseizures. It then com pares the individual-centred psychopathological accounts of pseudoseizures in biomedicine with anthropological accounts of other dissociative phenomena including behaviour in some possession cults. Two cases of pseudoseizures from a Japanese neuropsychiatric hospital illustrate the role of family, social and political-economic factors in chronicity. These examples demonstrate the need for a social perspective in research on pseudoseizures.

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The Etiology of Hysterical Seizures

Cited by 40 publications

References 8 publications

Hysterical seizures: Suggestion as a provocative EEG test

Hysterical seizures: Suggestion as a provocative EEG test

Demographic and Seizure Variables, But Not Hypnotizability or Dissociation, Differentiated Psychogenic from Organic Seizures

Pseudoseizures in Social and Cultural Context

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