King D W, Gallagher B B, Murvin A J, Smith D B, Marcus D J, Hartlage L C, Ward L C
Neurology. 1982 Jan;32(1):18-23. doi: 10.1212/wnl.32.1.18.
A prospective study of pseudoseizures using prolonged video-electroencephalographic (EEG) recording was carried out in 60 patients. Of 33 patients with episodes of uncertain mechanism, a diagnosis based on recorded episodes was made in 18 (55%). Twelve (36%) had pseudoseizures; 6 (18%) had epileptic seizures. Ten additional patients had epileptiform EEGs compatible with epilepsy. Of 27 patients with presumably uncontrolled epileptic seizures, 4 (15%) had recorded pseudoseizures. Prediction of the nature of the episode by the admitting neurologist was accurate in 67% of cases. Determination from observations of unit personnel and neurologists was correct in less than 80% of episodes. These data suggest that pseudoseizures occur frequently in patients being evaluated for epilepsy or suspected epilepsy. The clinical differentiation between epileptic seizures and pseudoseizures is often inaccurate. This differentiation is facilitated by prolonged video-EEG recording.
对60例患者进行了一项使用长时间视频脑电图（EEG）记录的假性癫痫前瞻性研究。在33例发作机制不明的患者中，根据记录的发作情况做出诊断的有18例（55%）。其中12例（36%）为假性癫痫；6例（18%）为癫痫发作。另外10例患者有与癫痫相符的癫痫样脑电图。在27例推测癫痫发作未得到控制的患者中，4例（15%）记录到假性癫痫发作。主治神经科医生对发作性质的预测在67%的病例中是准确的。根据病房工作人员和神经科医生的观察做出的判断在不到80%的发作中是正确的。这些数据表明，在接受癫痫或疑似癫痫评估的患者中，假性癫痫发作很常见。癫痫发作与假性癫痫发作的临床鉴别往往不准确。长时间视频脑电图记录有助于这种鉴别。
