What are NEEs or (non-epileptic events), psychogenic seizures?
An audience is usually present during hysterical or psychogenic seizures. Consciousness is preserved, amnesia is absent or patchy, and movements that simulate epileptic convulsions do not have tonic-clonic phases or in-phase clonic movements of the upper extremities. Movements are out of phase, chaotic,and bizarre without stereotype. Side-to-side head movements are observed in 1/3 of patients and forward pelvic thrusting in almost 1/2 of those experiencing psychogenic seizures. The attack ends abruptly with the patient alert and showing no post-ictal tiredness. A prior psychiatric history is usually present; psychogenic seizures are seldom the sold symptom and sign. Both psychogenic seizures and epileptic seizures can exist together in the same patient. An EEG and CCTV-EEG monitoring can be useful in differentiating the two.
