TABLE 1

Clinical features that may suggest psychogenic nonepileptic seizurea

Long duration (> 10 minutes) of convulsive-type seizures
Convulsive-type seizures with retained awareness
Side-to-side head movements during convulsive-type seizures
Out-of-phase limb movements
Eyes-closed unresponsiveness
Pelvic thrusting
Fluctuating patterns of movement
Distractibility during the seizure
Crying during the seizure
Stuttering during the seizure
  • a No one sign is 100% specific for psychogenic nonepileptic seizure. History alone is not a substitute for confirmation with video electroencephalography.