Controversial topic, and do not refer to them as Pseudo seizures to staff/neurology. The correct terminology is Psychogenic Nonepileptic Seizures.

SIGNS to suspect:

  1. Waxing and weaning
  2. Eye closure
  3. Side to side movement
  4. Time >3mins [very soft sign]
  5. Crying
  6. Out of phase movement
  7. Pelvic thrusting
  8. The “teddy bear sign” (adults and older teenagers who bring toy stuffed animals into hospital)

REFERENCES

  1. Chapter 16. Epilepsy and Other Seizure Disorders. Adams and Victor’s Principles of Neurology, 10

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