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Usefulness of short‐term video EEG recording with saline induction in pseudoseizures
Author(s) -
Bhatia M.,
Sinha P. K.,
Jain S.,
Padma M. V.,
Maheshwari M. C.
Publication year - 1997
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1997.tb00226.x
Subject(s) - medicine , saline , placebo , anesthesia , term (time) , video recording , electroencephalography , pediatrics , psychiatry , physics , alternative medicine , computer graphics (images) , pathology , quantum mechanics , computer science
Objectives ‐ To study the usefulness of short‐term recording of video electroencephalography (VEEG) as an outpatient procedure with placebo induction (PLIN) and intravenous saline in cases of pseudoseizures (Psz). Material and methods ‐ Fifty cases of suspected Psz were enrolled. They were divided into 2 groups: Group 1 consisted of patients with frank Psz, Group 2 those where diagnosis was uncertain. VEEG recording was done and 10 ml of saline used for placebo‐induction. Results ‐ Of 50 patients, 24 (48%) were in Group 1 and 26 (52%) in Group 2. Fifteen (30%) had a spontaneous event during VEEG and 33% had an event only on PLIN. The diagnosis was confirmed in 60%. In 24% of patients anti‐epileptic drugs were discontinued. Conclusion ‐ Short‐term monitoring with VEEG using PLIN is a useful initial screening procedure and in patients where it is inconclusive, long term recordings may be done.