Desai B T, Porter R J, Penry J K
Arch Neurol. 1982 Apr;39(4):202-9. doi: 10.1001/archneur.1982.00510160008002.
Intractable complex partial seizures and seizures of unknown type were studied in 78 patients, six of whom were found to have psychogenic seizures. Evaluation by intensive monitoring included simultaneous six-hour telemetered EEG and videotape recordings and daily determination of plasma antiepileptic drug levels. Diagnosis was determined by assessment of four major criteria: deviation of seizures from characteristics of known seizure types, absence of epileptiform activity in the ictal EEG, absence of slowing in the postictal EEG, and relation of seizure frequency to decreasing plasma concentrations of antiepileptic drugs. No single criterion is sufficient for an unequivocal diagnosis of psychogenic seizures.
对78例难治性复杂部分性发作和不明类型发作的患者进行了研究，其中6例被发现患有心因性发作。通过强化监测进行评估，包括同步进行6小时的遥测脑电图和录像记录，以及每日测定血浆抗癫痫药物水平。诊断通过评估四个主要标准来确定：发作偏离已知发作类型的特征、发作期脑电图中无癫痫样活动、发作后期脑电图无减慢以及发作频率与抗癫痫药物血浆浓度降低的关系。没有单一标准足以明确诊断心因性发作。
