Am J Psychiatry 1979; 136:320-323
Copyright © 1979 by American Psychiatric Association
Complex partial and pseudoseizure disorders
RA Remick and JA Wada
The differentiation of ictal and nonictal seizure disorders is difficult,
particularly in patients suffering from partial seizures with complex
symptomatology. The authors state that observation of a patient's habitual
seizure during EEG recording is the ideal diagnostic tool and describe
their method of seizure activation with sphenoidal electrodes and
simultaneous audiovisual monitoring. They emphasize the necessity for
early, aggressive treatment of both ictal and nonictal seizure disorders,
point out risks to the patient if the incorrect diagnosis is made, and urge
further cooperation between psychiatrists and neurologists in this
borderland area.
