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Q J Med 1989; 71: 507-519
© 1989 Association of Physicians

research-article

Pseudostatus Epilepticus

S. J. L. HOWELL, KYNBE OWEN and D. W. CHADWICK

Mersey Regional Department of Medical and Surgical Neurology, Walton Hospital Liverpool L9 1AE

Address correspondence to Dr Howell.

Accepted for publication 24 November 1988.

SUMMARY

Thirteen patients with pseudostatus (simulated status epilepticus) have been comapared to 13 patients with true statues epilepticus seen at a regional neurological centre. Pseudostatues was common in patients with pseudoseizures and was often misdiagnosed as status epilepticus. Complications of this misdiagnosis included eight episodes of anticonvulsant-induced respiratory arrest. Patients with pseudostatus commonly had multiple episodes of ‘status’. They usually also had a history of other unexplained illness and of deliberate self-posioning. Management of these patients was difficult and emphasizes the need for specialist expertise for patients with epilepsy and apparent epilepsy.


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