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Detecting the Malingering of Seizures

Published online by Cambridge University Press:  07 November 2014

Abstract

We present the case report of a patient who manifested seizures due to malingering, and discuss the differential diagnosis. The characteristics typical of nonepileptic seizures not due to malingering and of seizures due to malingering are described. Methods of distinguishing nonepileptic seizures from epileptic seizures are outlined, and the differences between seizures due to malingering and other nonepileptic seizures are discussed.

Type
Grand Rounds
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4thed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
2.Lesser, RP. Psychogenic seizures. Neurology. 1996;46:14991507.CrossRefGoogle ScholarPubMed
3.Lishman, WA. Organic Psychiatry. The Psychological Consequences of Cerebral Disorders. 2nd ed. Oxford, England: Blackwell Scientific Publications; 1987:409410.Google Scholar
4.Alper, K. Nonepileptic seizures. Neurol Clin. 1994;12:153173.CrossRefGoogle ScholarPubMed
5.Devinsky, O, Thacker, K. Nonepileptic seizures. Neurol Clin. 1995;13:299319.CrossRefGoogle ScholarPubMed
6.Drake, ME Jr, Pakalnis, A, Phillips, BB. Neuropsychological and psychiatric correlates of intractable pseudoseizures. Seizure. 1992;1:1113.CrossRefGoogle ScholarPubMed
7.Alper, K, Devinsky, O, Perrine, K, Vazquez, B, Luciano, D. Psychiatric classification of nonconversion nonepileptic seizures. Arch Neurol. 1995;52:199201.CrossRefGoogle ScholarPubMed
8.Kristensen, O, Alving, J. Pseudoseizures—risk factors and prognosis: a case-control study. Acta Neurol Scand. 1992;85:177180.CrossRefGoogle ScholarPubMed
9.Lancman, ME, Brotherton, TA, Asconape, JJ, Penry, JK. Psychogenic seizures in adults: a longitudinal analysis. Seizure. 1993;2:281286.CrossRefGoogle ScholarPubMed
10.Binder, LM, Salinsky, MC, Smith, SP. Psychological correlates of psychogenic seizures. J Clin Exp Neuropsychol. 1994;16:524530.CrossRefGoogle ScholarPubMed
11.Peguero, E, Abou-Khalil, B, Fakhoury, T, Mathews, G. Selfinjury and incontinence in psychogenic seizures. Epilepsia. 1995;36:586591.CrossRefGoogle ScholarPubMed
12.Kuyk, J, Jacobs, LD, Aldenkamp, AP, Meinardi, H, Spinhoven, P, van Dyck, R. Pseudo-epileptic seizures: hypnosis as a diagnostic tool. Seizure. 1995;4:123128.CrossRefGoogle ScholarPubMed
13.Lancman, ME, Asconape, JJ, Craven, WJ, Howard, G, Penry, JK. Predictive value of induction of psychogenic seizures by suggestion. Ann Neurol. 1994;35:359361.CrossRefGoogle ScholarPubMed
14.Bortz, JJ, Prigatano, GP, Blum, D, Fisher, RS. Differential response characteristics in nonepileptic and epileptic seizure patients on a test of verbal learning and memory. Neurology. 1995;45:20292034.CrossRefGoogle ScholarPubMed
15.Trueblood, W. Qualitative and quantitative characteristics of malingered and other invalid WAIS-R and clinical memory data. J Clin Exp Neuropsychol. 1994;16:597607.CrossRefGoogle ScholarPubMed
16.Chabolla, DR, Krahn, LE, So, EL, Rummans, TA. Psychogenic nonepileptic seizures. Mayo Clin Proc. 1996;71:493500.CrossRefGoogle ScholarPubMed
17.Resnick, PJ. Defrocking the fraud: the detection of malingering. Isr J Psychiatry Relat Sci. 1993;30:93101.Google ScholarPubMed