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.