Gulick T A, Spinks I P, King D W
Neurology. 1982 Jan;32(1):24-30. doi: 10.1212/wnl.32.1.24.
Videotapes of 71 pseudoseizures from 27 patients were reviewed and clinical phenomena were recorded. Twenty patients demonstrated decreased response to verbal stimuli; 15 described subjective phenomena; 22 had motor activity; 14 semipurposeful movements simulating epileptic automatisms; 19 alimentary phenomena; 9 respiratory change; and 12 nonverbal vocalization. Episodes could be divided into four major ictal patterns. Fifteen patients had bilateral motor episodes; three had unilateral motor episodes; eight had episodes with multiple behavioral phenomena; and three demonstrated episodes with an impaired response but no observable behavior. Eighteen of the 20 patients with multiple episodes had a stereotyped pattern. Individual phenomena often simulated epileptic activity; rarely did complete episodes closely resemble epileptic seizures.
回顾了27例患者的71次假性癫痫发作的录像带，并记录了临床现象。20例患者对言语刺激反应减弱；15例描述了主观现象；22例有运动活动；14例有模拟癫痫自动症的半目的性运动；19例有进食现象；9例有呼吸变化；12例有非言语发声。发作可分为四种主要的发作模式。15例患者有双侧运动发作；3例有单侧运动发作；8例有多种行为现象的发作；3例表现为反应受损但无明显行为的发作。20例有多次发作的患者中，18例有刻板模式。个别现象常模拟癫痫活动；完整发作很少与癫痫发作非常相似。
