The Evaluation of Nonepileptic Paroxysmal Events

Joseph F. Drazkowski, Matthew Hoerth

Research output: Chapter in Book/Report/Conference proceedingChapter

Original languageEnglish (US)
Title of host publicationAdult Epilepsy
PublisherJohn Wiley and Sons
Number of pages13
ISBN (Print)9780470741221
StatePublished - Mar 18 2011


  • Careful taking of a history - cornerstone of evaluation process
  • Consequences, seizure-like events - on spheres of life, as job performance, social situations, recreational activities and driving
  • Correct diagnosis of etiology of recurrent episodes - altered consciousness, implications for patients in question
  • Detailedhistory and physical examination - arriving at a diagnosis
  • Epilepsy Monitoring Unit (EMU)(continuous video-EEG monitoring unit) - critical tool in ascertainment of ultimate diagnosis
  • Features of history favoring syncope events
  • Misdiagnosing PNES, as epileptic seizures - continuing therapy, that is not necessary
  • Nonepileptic paroxysmal event evaluation
  • Syncope, like epilepsy - dramatic, with sudden onset of altered consciousness
  • Typical differential diagnosis - of seizure-like events

ASJC Scopus subject areas

  • General Neuroscience

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