Pseudoseizures in the era of video-electroencephalogram monitoring

Psychogenic seizures may be difficult to distinguish from epileptic seizures lacking electrographic correlate. The presence of concomitant epilepsy or Munchausen syndrome by proxy may increase diagnostic difficulty. Clinical seizure characteristic, suggestion, prolactin levels, and continued recording after medication withdrawal may be useful in reaching a diagnosis. Dissociative disorders may be very common in psychogenic seizure patients.