Eur Rev Med Pharmacol Sci 2019; 23 (5): 2188-2193

DOI: 10.26355/eurrev_201903_17265

Paroxysmal non-epileptic events in the pediatric emergency department

D. Buonsenso, M. Plosnic, G. Bersani, S. Monaco, P. Ferrara, A. Chiaretti

Department of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Danilo.buonsenso@policlinicogemelli.it


Paroxysmal non-epileptic events (PNEs), or pseudoseizures (PS) resemble epileptic seizures. They are considered part of a personality disorder and have a higher incidence among adolescents. Patients describe episodes (lasting up to 20 minutes) of loss of consciousness, twitching or jerking and unusual emotional states. Unlike epileptic seizures, they are not associated with electroencephalographic abnormalities. Distinguishing epileptic seizures from PNEs is not easy. 20% of patients with seizures have a final PNEs diagnosis but recognizing them on the first examination is difficult.

Due to the severe initial clinical presentation, these patients are often admitted in the Pediatric Intensive Care Unit (PICU) and may be over-treated. We report two cases admitted to our PICU for apparent status epilepticus, in which the final diagnosis was PNEs.

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To cite this article

D. Buonsenso, M. Plosnic, G. Bersani, S. Monaco, P. Ferrara, A. Chiaretti
Paroxysmal non-epileptic events in the pediatric emergency department

Eur Rev Med Pharmacol Sci
Year: 2019
Vol. 23 - N. 5
Pages: 2188-2193
DOI: 10.26355/eurrev_201903_17265