How to Use Your Clinical Judgment to Screen for and Diagnose Psychogenic Nonepileptic Seizures without Video Electroencephalogram

In this article, the authors emphasize the value of proper understanding of the nature of psychogenic nonepileptic seizures in order to reach the right diagnosis based on clinical symptoms and signs. The authors review the literature and provide information regarding epidemiology, etiology and pathogenesis, diagnosis, and features of psychogenic nonepileptic seizures as they compare to epileptic seizures. The authors make suggestions for treatment and provide a clinical diagnostic tool that can aid clinicians in identifying a psychogenic nonepileptic seizure episode.