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Ettinger, AB; Devinsky, O
"Nonepileptic-epilepsia partialis continua"
Journal of epilepsy 1997 SEP-OCT ; 10(5):215-219
We report three patients with focal prolonged myoclonic jerking movements suggestive of epilepsia partialis continua (EPC) but produced on a psychogenic basis [nonepileptic seizures-EPS (NES-EPC)]. NES-EPC was identified by (1) variability in the areas of motor activity in the same patient, (2) distribution and spread of motor activity without neuroanatomic basis, (3) transient abolition of movements with distraction (e.g., when other body parts are engaged in effortful tasks), (4) eliciting and abolishing typical episodes with suggestive techniques, (5) absence of motor weakness during or in between episodes, (6) absence of electroencephalogram (EEG) correlate of motor activity, and (7) absence of hyperperfusion on ictal SPECT scan. (C) 1997 by Elsevier Science Inc. All rights reserved

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