Which physical and neurologic findings suggest psychogenic nonepileptic seizures (PNES)?

Updated: Jul 26, 2018
  • Author: Selim R Benbadis, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Physical and neurologic findings are usually normal, but the examination can also uncover suggestive features. For example, overly dramatic behaviors, give-way weakness, and a weak voice or stuttering can be useful predictors.

Psychological features suggestive of psychogenic episodes include anxiety, depression, inappropriate affect or lack of concern (la belle indifference), multiple and vague somatic complaints suggestive of somatization disorder, and abnormal interaction with family members.


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