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Pelvic thrusting and ictal eye closure are not reliable indicators of PNES.
2
Mood disturbance scales were not significantly elevated in our PNES sample.
3
We studied 187 patients from an epilepsy monitoring unit with confirmed PNES or ES.
4
Results: There were wide variations in the rates of coexisting PNES and epilepsy and study methodology.
5
We interviewed 27 patients with PNES and 35 patients with epileptic seizures.
6
However, the presence of pelvic thrusting or ictal eye closure did not accurately distinguish PNES from ES.
7
Although often suspected based on historical and clinical features, the gold standard for diagnosis of PNES is video electroencephalography.
8
Because PNES and ES may coexist, analysis of diagnostic accuracy of clinical features should be performed for individual spells.
9
Conclusions: The presence of either ictal stuttering or the teddy bear sign is moderately specific but poorly sensitive for PNES.
10
Background: Psychogenic nonepileptic seizures (PNES) are often disabling and usually associated with psychiatric disorders and reduced quality of life.
11
Objective: To determine the diagnostic value of putative clinical symptoms or signs of PNES against the gold standard of video electroencephalography.
12
When strict diagnostic criteria are applied, there is little overlap between epileptic seizures and PNES among patients referred for VEEG monitoring.
13
This suggests that symptom modeling plays a key role in the development of PNES, even among individuals without a coexisting history of epilepsy.
14
One goal of that assessment is to contribute information that may help with differential diagnosis between epilepsy and psychogenic nonepileptic seizures (PNES).
15
Results contribute to the small body of research on sex differences in patients with PNES and suggest that somatization is a key characterization across sexes.