Psychogenic nonepileptic seizures (PNESs) are disruptive changes in behavior without ictal correlate of epileptic activity and high prevalence psychiatric morbidity. Differential diagnosis is difficult particularly with temporal lobe epilepsy (TLE), which also associated comorbidity. Although video electroencephalography the gold standard for differential diagnosis, clinical semiology analysis ...

We report the case of a 25-year-old female patient with intractable complex partial seizures characterized by repetition of certain religious statements and a rather compulsive kissing behavior. Presurgical evaluation revealed a right-sided, mesial temporal focus and hippocampal sclerosis on MRI. After selective amygdalohippocampectomy, she has only occasional auras. Her rare and peculiar ictal...

The physical examination (2004) showed: weight = 60 kg; height = 1.76 m, pulse = 102 bpm, blood pressure (BP) = 96 / 74 mmHg. Pulmonary semiology was normal. The assessment of the precordium showed shock palpated on the 5th intercostal space, on the left hemiclavicular line. The heart sounds were normal. There was a ++ systolic murmur in the mitral area. At the abdominal assessment, the liver w...

The occurrence of de novo psychogenic seizures after epilepsy surgery is rare, and is estimated in 1.8% to 3.6%. Seizures after epilepsy surgery should be carefully evaluated, and de novo psychogenic seizures should be considered especially when there is a change in the ictal semiology. We report a patient with de novo psychogenic seizures after anterior temporal lobe removal for refractory tem...

Seizures that cause loss of consciousness (LOC) can be classified as epileptic or nonepileptic based on evaluation of ictal semiology and analysis of changes in EEG events, recorded with continuous scalp EEG and video monitoring. We report 3 patients who had hippocampal electrographic seizures documented with intracranial EEG recording with no accompanying scalp EEG change immediately preceding...

The semiology of epileptic seizures reflects activation, or dysfunction, areas brain (often termed the symptomatogenic zone) as a seizure begins and evolves. Specific semiologies in focal epilepsies provide an insight into location onset zone, which is particularly important for presurgical epilepsy assessment. correct diagnosis paroxysmal events also depends on clinician being familiar with sp...