Nonepileptic seizures in children

Hema Patel, Eric Scott, David Dunn, Bhuwan Garg

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Purpose: To determine if the clinical characteristics of nonepileptic seizures (NES) are different in children younger than 13 years age as compared to adolescents. Methods: Retrospective review of medical records and video-EEGs (VEEG) of all patients with NES confirmed on VEEG monitoring was performed. Results: Sixty-eight (3.5%) of 1,967 patients monitored with VEEG had a clinical diagnosis of NES. Fifty-nine of 68 patients had their habitual event recorded. Mean age at the time of the VEEG diagnosis was 13 years 4 months. Twenty-two patients were less than 13 years (group A) and 37 were 13 years and older (group B). The male to female ratio was equal in group A, with female predominance seen in group B. NES commonly manifested as subtle motor activity in group A (p < 0.01) and prominent motor activity in group B (p < 0.001). Difficulties at school, family discord, and interpersonal conflicts, were frequent stressors in both groups. Sexual abuse was the least frequent. Depression was more common in group B; cognitive dysfunction (p < 0.001) and epilepsy (p < 0.01) were more common in group A. Conclusions: Differences in clinical semiology and predisposing factors may help identify young children and adolescents who might be at risk for the development of NES.

Original languageEnglish
Pages (from-to)2086-2092
Number of pages7
JournalEpilepsia
Volume48
Issue number11
DOIs
StatePublished - Nov 2007

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Seizures
Electroencephalography
Epilepsy
Motor Activity
Sex Offenses
Causality
Medical Records
Depression

Keywords

  • Epilepsy
  • Pseudoseizures
  • Video-EEG

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Nonepileptic seizures in children. / Patel, Hema; Scott, Eric; Dunn, David; Garg, Bhuwan.

In: Epilepsia, Vol. 48, No. 11, 11.2007, p. 2086-2092.

Research output: Contribution to journalArticle

Patel, H, Scott, E, Dunn, D & Garg, B 2007, 'Nonepileptic seizures in children', Epilepsia, vol. 48, no. 11, pp. 2086-2092. https://doi.org/10.1111/j.1528-1167.2007.01200.x
Patel, Hema ; Scott, Eric ; Dunn, David ; Garg, Bhuwan. / Nonepileptic seizures in children. In: Epilepsia. 2007 ; Vol. 48, No. 11. pp. 2086-2092.
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