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Case Reports in Neurological Medicine
Volume 2013, Article ID 159842, 2 pages
http://dx.doi.org/10.1155/2013/159842
Case Report

Importance of Video-EEG Monitoring in the Diagnosis of Epilepsy in a Psychiatric Patient

Epilepsy Center, Department of Neurology, Scott & White Neuroscience Institute and Texas A&M Health Science Center College of Medicine, Temple, TX 76508, USA

Received 2 February 2013; Accepted 4 March 2013

Academic Editors: T. K. Banerjee, J. L. González-Gutiérrez, and R. Koide

Copyright © 2013 Batool F. Kirmani. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Epilepsy is a chronic medical condition which is disabling to both patients and caregivers. The differential diagnosis of epilepsy includes psychogenic nonepileptic spells or “pseudoseizures.” Epilepsy is due to abnormal electrical activity in the brain, and pseudoseizure is a form of conversion disorder. The brain waves remain normal in pseudoseizures. The problem arises when a patient with significant psychiatric history presents with seizures. Pseudoseizures become high on the differential diagnosis without extensive work up. This is a case of woman with significant psychiatric issues which resulted in a delay in the diagnosis of epilepsy.