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For those who have or know about pseudoseizures

Fri, 11/05/2010 - 19:00
I have had physiological (ie. not psychogenic) seizures for 6 months, but a 12-year old neighbor of mine who, ah, sees me as role-model (don't ask me why - lol) has suddenly developed psychogenic seizures. It's so obvious it's really sad, and a pediatric neurologist said as much as well. I haven't had any in front of her, however it doesn't take much to see what seizures look like on the internet these days. Under the guidance of the neurologist, her parents and I are working with her on this, and right now the parents are using the "well anyone who has seizures can't do that" approach (play video games, stay up late, swim, eat junk food, you name it). Their next approach is to give her an "AED" (placebo). Anyway, her situation with pseudoseizures has led to questions I have that I would like the folks here who also have pseudoseizures (or know about them) to answer: 1. Do pseudoseizures have a stereotypical pattern of aura, seizure activity, seizure after-effects, etc.? Or, are the seizure-related behaviours for a given seizure type more variable than for physiological seizures? 2. Do pseudoseizures even have aura, and seizure after effects like headache, electrical sensations, etc.? 3. Are AEDs helpful for pseudoseizures? Can one "convince" themselves (consciously or subconsciously) that a particular AED is working, and therefore the seizures seem to come under at least partial control? Or, is the psychological reason for having the seizures too strong for any AED to work? 4. Since very often EEGs, MRIs, etc. can be normal even in those with physiological seizures, how does a neurologist determine that someone is in fact having pseudoseizures (assuming no obvious issues like pre-diagnosed mental disorder, mental or physical trauma, severe stress, etc,)? Thank you in advance for your help!

Comments

Re: For those who have or know about pseudoseizures

Submitted by zealot on Sat, 2010-11-06 - 10:17

Tadzio,

Good post.  I have to try to get my hands on that book.  It's a huge issue.  All of this money not being spent to properly diagnose patients is driving this nation into the poor house.

Baruch Hashem.  Hoshia na.

Devorah Zealot Soodak http://psychout.typepad.com/ the zealot needs help! Please read my blog. The link is after my name. Thanks.

Tadzio,

Good post.  I have to try to get my hands on that book.  It's a huge issue.  All of this money not being spent to properly diagnose patients is driving this nation into the poor house.

Baruch Hashem.  Hoshia na.

Devorah Zealot Soodak http://psychout.typepad.com/ the zealot needs help! Please read my blog. The link is after my name. Thanks.

Re: For those who have or know about pseudoseizures

Submitted by thebettles on Sat, 2010-11-06 - 23:39

Hey hey MJ-

I am not sure if you have any desire to elaborate on the situation, to explain in more detail what the neurologist feels, the parents feel, the child feels, and also what you feel is happening.

much love,

marty

 

Hey hey MJ-

I am not sure if you have any desire to elaborate on the situation, to explain in more detail what the neurologist feels, the parents feel, the child feels, and also what you feel is happening.

much love,

marty

 

Re: For those who have or know about pseudoseizures

Submitted by Masterjen on Sun, 2010-11-07 - 01:08
Hey, Marty; Thanks for the invitation to do this. I've known the child since the day she was born, and her mom and I have been best friends since we were very young. I have been very involved with the family over the years, and love them immensely. The child and I "hang out" together frequently. She herself calls me her "role-model" and has said she wants to be just like me - she sees her mom as "too fussy and mom-like". The family - including this 12 year old - were a great support to me when I was first diagnosed with seizures 6 months ago. As soon as the mom mentioned her daughter was having seizures, my first response certainly was not "oh, these are not real seizures"!! I gave the parents all the support I could, including the name of a pediatric neurologist who has an excellent reputation. Since I am close to the family, the parents asked me if I would go along to the appointments with them and their daughter. That is why I know what the neurologist said. Because this was a young child, various tests were expedited. After talking to the girl in private and observing some of the seizures, the neuro. and a psychologist recognized that she was consciously feigning the seizures. The neurologist herself called them a form of psychogenic seizure, so in my initial post I referred to them as such because the neurologist used that terminology. Some of these seizures were videotaped, and with the neurologist explaining to us the features of her episodes, along with her telling us what the child said in private to the neurologist and psychologist, as difficult it was to accept, it became very apparent (or, as I said in my original post "obvious") to her parents and I that the seizures were feigned. It was also the neurologist and psychologist who suggested the "with-holding of favorite activities approach" and then if that alone was unsuccessful in helping the child realize there was no benefit to having seizures, then trying the placebo. My initial post did not broach the subject of whether I agreed with these techniques. Taking this approach is what the parents decided to do and whether or not I agree is irrelevant; I will support them. The parents asked me questions I could not answer (those that I posted), and I said I would bring them up with the intelligent and supportive individuals that comprise our forums community.

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