Though “maybe” pseudo-seizures are the case; fully plausible.
However if truly prognosis of pseudo-seizures via one surface EEG test result, considering the percentage of inaccuracies documented (and not) this is akin to diagnosis via pin-the-DX-on-the-patient, blindfold and all.
Examples:
Following is from:
Fujimoto S, Mizuno K, Takasaka Y, Shibata H, Kanayama M, Ishikawa T.
Department of Central Clinical Laboratories, Nagoya City University Hospital.
We analyzed the ictal electroencephalographies (EEGs) in 75 seizures of 73 patients…
…Because half of the patients with pseudoseizures also had epilepsy, their ictal EEG examinations were very useful.
"A Remarkable Position to Be In"
Dr. Anthony Ritaccio
NYU Comprehensive Epilepsy Center, New York
{quote]…Glimpses of the difficulties faced by neurologists of old are still afforded to us today by those cases — usually involving seizures in the part of the brain just behind the eyes, the prefrontal cortex — wherein the EEG does not show any sign of seizure activity.[/quote]
From this site:
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=88319291 …Overall, among the 87 simple partial seizures, only 18 (21%) revealed ictal EEG changes. Thus, a normal EEG is common during simple partial seizures and does not exclude the diagnosis.
PMID: 3137487 [PubMed - indexed for MEDLINE]
Following is from:
Electroencephalographic studies of simple partial seizures with subdural electrode recordings.
Devinsky O, Sato S, Kufta CV, Ito B, Rose DF, Theodore WH, Porter RJ.
Division of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892.
We used subdural electrodes to study the EEG features of simple partial seizures in 7 patients. We detected epileptiform discharges in 61 of 68 subdurally recorded simple partial seizures compared with 6 of 55 simple partial seizures recorded with scalp electrodes (p less than 0.0001). …
This topic is also discussed at greater length with (in my opinion) far too many assumptions though addressed on page ten (some redundant); thread “faking it”.
Possibly one of the most common comments heard by a person with Epilepsy or seizure disorder:
“but you look fine”.
--Then put a band aid on my head.
I agree she needs help, the “why” I do not see as answered yet.
All my best to all
Nursing News