MR 19 - 21 May

Pseudoseizures:  Difficult and challenging condition for patients and physicians alike.  Suspect this in patients with epilepsy that is refractory to antiepileptic drugs or in patients with significant emotional distress or personality disorders.  Do not forget that up to 1/3 of patients that have pseudoseizures will also have true epilepsy, making management particularly difficult in these folks.  Cornerstone of diagnosis is video ECG monitoring.