European Journal of Biomedical and Pharmaceutical Sciences

A CONFUSING CASE OF SEIZURE

Dr. Karthika Remeshchandra Melemadathil* and Dr. T. P. Antony

ABSTRACT

Psychogenic non-epileptic seizures are a rather common entity which masks or accompanies a true seizure episode. The mainstay of diagnosis here is a detailed clinical history and examination. In third world countries like ours, sophisticated investigation modalities like Electro- encephalogram (EEG) are not used a routine. They are reserved for patients with strong clinical suspicion. This patient presented with a history which indicated a pseudo seizure episode. Meticulous clinical examination also revealed no clue of a true seizure. Patient was managed as a case of Psychogenic non-epileptic seizures (PNES) but for completion sake an EEG was taken which revealed a true seizure. A pseudo seizure is the most common condition associated with a seizure. Only a patient who had experienced seizure once can mimic the condition.

Keywords: Psychogenic non-epileptic seizures, Epilepsy, Pseudo seizure, Clinical history.