Intended for healthcare professionals

Endgames onExamination Quiz

Pseudoseizures

BMJ 2011; 342 doi: https://doi.org/10.1136/bmj.d2492 (Published 27 April 2011) Cite this as: BMJ 2011;342:d2492

This week’s question is on pseudoseizures and is taken from the onExamination revision questions for the MRCPsych Papers 1 and 2.

Which one of the following features suggests a diagnosis of dissociative non-epileptic attacks (pseudoseizures) as opposed to generalised tonic-clonic seizures?

  • A Automatisms

  • B Gradual onset of episode

  • C Post episode sleepiness

  • D Severe tongue biting

  • E Urinary incontinence

Answer

Answer B is correct.

A gradual onset is suggestive of non-epileptic attacks. The other features suggest genuine generalised tonic-clonic seizures.

Other characteristics of pseudoseizures are:

Notes

Cite this as: BMJ 2011;342:d2244

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