Postictal behaviors associated with psychogenic nonepileptic seizures

David R. Chabolla, Jerry J. Shih

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


The postictal behavior of responding to questions in a whispering voice or responding to commands with partial motor responses has not, to our knowledge, been previously associated with psychogenic nonepileptic seizures. We performed a retrospective review of 100 consecutive patients admitted to the epilepsy monitoring unit for evaluation of medically refractory seizures or clinically indeterminate spells to determine if this association exists. Twenty-four patients had a diagnosis of psychogenic nonepileptic seizures, and 18 of the 24 (75%) exhibited postictal whispering voice or partial motor responses. None of the patients diagnosed as having epileptic seizures or other physiologic events exhibited these postictal signs. We conclude that postictal behavior may be helpful in the diagnosis of psychogenic nonepileptic seizures, and whispering or partial motor responses to commands may be commonly observed.

Original languageEnglish (US)
Pages (from-to)307-311
Number of pages5
JournalEpilepsy and Behavior
Issue number2
StatePublished - Sep 1 2006


  • Nonepileptic seizures
  • Postictal behaviors
  • Pseudoseizures
  • Psychogenic nonepileptic seizures
  • Video electroencephalography

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience


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