6. The Role of EEG in the Diagnostic Work up in Psychiatry: Nonconvulsive Status Epilepticus, Frontal Lobe Seizures, Non-Epileptic Seizures

  1. Nash Boutros1,
  2. Silvana Galderisi2,
  3. Oliver Pogarell3 and
  4. Silvana Riggio4
  1. Silvana Riggio

Published Online: 14 MAR 2011

DOI: 10.1002/9780470974612.ch6

Standard Electroencephalography in Clinical Psychiatry: A Practical Handbook

Standard Electroencephalography in Clinical Psychiatry: A Practical Handbook

How to Cite

Riggio, S. (2011) The Role of EEG in the Diagnostic Work up in Psychiatry: Nonconvulsive Status Epilepticus, Frontal Lobe Seizures, Non-Epileptic Seizures, in Standard Electroencephalography in Clinical Psychiatry: A Practical Handbook (eds N. Boutros, S. Galderisi, O. Pogarell and S. Riggio), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470974612.ch6

Editor Information

  1. 1

    Wayne State University, School of Medicine. 2751 E, Jefferson, Detroit, MI 48207, USA

  2. 2

    Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 8018 Naples, Italy

  3. 3

    Department of Psychiatry and Psychotherapy, Ludwig-Maximilian-University of Munich, Nussbaumstr. 7, D-80336 Munich, Germany

  4. 4

    Mount Sinai School of Medicine and James J. Peters VAMC, New York, NY, USA

Author Information

  1. Mount Sinai School of Medicine and James J. Peters VAMC, New York, NY, USA

Publication History

  1. Published Online: 14 MAR 2011
  2. Published Print: 18 MAR 2011

ISBN Information

Print ISBN: 9780470747827

Online ISBN: 9780470974612

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Keywords:

  • Nonconvulsive status;
  • Psychogenic Non-Epileptic Status;
  • Frontal lobe seizures;
  • Electrencephalography;
  • video monitoring

Summary

• The role of Electroencephalography (EEG) in the diagnostic work up of Psychiatric and neurological illness has been under recognized. Consequently the EEG has been underutilized despite the fact that it is an important and essential tool in the differential diagnosis of some neurological versus psychiatric conditions.

• Nonconvulsive status epilepticus (NCSE), Seizures of Frontal lobe origin and Psychogenic Non-Epileptic Seizures (PNES) are the ultimate condition in which the disciplines of neurology and psychiatry meet and, at times, overlap.

• A detailed history combined with an accurate physical examination, together with the help of a scalp EEG when indicated, are essential steps in the evaluation of patients with these conditions.

• The diagnosis of these conditions may pose a diagnostic challenge. The care of these patients can greatly benefit from a coordinated approach utilizing the skills brought by multiple specialties.

• Advanced techniques including video-monitoring and / or intracranial recording in addition to scalp recording have improved our ability to diagnose some of these challenging conditions.