Volow M R
South Med J. 1986 May;79(5):600-7. doi: 10.1097/00007611-198605000-00020.
Pseudoseizures, formerly called hysterical seizures, have become an acknowledged clinical entity in their own right. Diagnosis of pseudoseizures is a complex process, depending primarily on clinical neurologic observation of the spell pattern and negative response to anticonvulsant therapy. Diagnosis is aided by psychiatric evidence of psychopathology, and in difficult cases, by video/EEG observation of actual spells, either spontaneous or induced by saline infusion or hypnosis. Exposure to some model of spell behavior is considered important in the development of most cases of pseudoseizures. Pseudoseizures are difficult to treat successfully, and exploratory attempts at treatment have included hypnosis and behavior therapy. Pseudoseizures may represent either conversion disorder or dissociative disorder.
假性癫痫，以前称为癔症性癫痫发作，其本身已成为一个公认的临床实体。假性癫痫的诊断是一个复杂的过程，主要取决于对发作模式的临床神经学观察以及对抗惊厥治疗的阴性反应。精神病理学的精神病学证据有助于诊断，在疑难病例中，可通过对实际发作的视频/脑电图观察来辅助诊断，发作可以是自发的，也可以通过静脉注射生理盐水或催眠诱导。大多数假性癫痫病例的发生被认为与接触某种发作行为模式有关。假性癫痫难以成功治疗，探索性的治疗尝试包括催眠和行为疗法。假性癫痫可能代表转换障碍或分离障碍。
