Quote from LovebugLPN
Pseudo-seizures aren't always people who are "pretending to seize". I actually wanted to have a dx of pseudo-seizures because it meant having my life back and my driver's license. All the neurologists said you couldn't tell someone having a true seizure from someone having a pseudo-seizure unless it was someone truely faking it. Their are a lot of people who have pseudo-seizures who truely believe they are having a seizure and don't have any control over it. I was just wondering how if every test came back normal, as can be the truth in either case, do they make the dx of seizure disorder.
I think you get the diagnosis of epilepsy or seizure disorder if you have more than one seizure. I had one adult-onset seizure 4 years ago and the neurologist and my regular physician said that 60% of adult-onset seizures have no perceivable cause and no more seizures. They don't medicate for just one seizure. However, I had another one 3 months later. My EEG's and MRI's were normal. So, now I'm on Tegretol.
As to pseudo-seizure . . . that is another whole ball of wax, so to speak, isn't it?
Unlike epileptic seizures, PNES do not result from an abnormal electrical discharge from the brain; they are a physical manifestation of a psychological disturbance. They are a type of conversion disorder
or, more broadly, a type of somatoform disorder
, and they are usually involuntary. PNES can also result from voluntary faking (feigning), as in malingering
and factitious disorder
. This cause is thought to be rare, but it is difficult to prove.