6. Psychogenic Nonepileptic Episodes

  1. John W. Miller MD, PhD Director, UW Regional Epilepsy Center, Professor of Neurology and Neurological Surgery2 and
  2. Howard P. Goodkin MD, PhD The Shure Professor of Neurology and Pediatrics, Director, Division of Pediatric Neurology3
  1. Vaishali S. Phatak

Published Online: 10 JAN 2014

DOI: 10.1002/9781118456989.ch6



How to Cite

Phatak, V. S. (2014) Psychogenic Nonepileptic Episodes, in Epilepsy (eds J. W. Miller and H. P. Goodkin), John Wiley & Sons, Oxford. doi: 10.1002/9781118456989.ch6

Editor Information

  1. 2

    University of Washington, Seattle, WA, USA

  2. 3

    Department of Neurology, University of Virginia, Charlottesville, VA, USA

Author Information

  1. Department of Neurology, UW Regional Epilepsy Center, University of Washington, Seattle, WA, USA

Publication History

  1. Published Online: 10 JAN 2014
  2. Published Print: 14 FEB 2014

ISBN Information

Print ISBN: 9781118456941

Online ISBN: 9781118456989



  • nonepileptic episodes;
  • diagnosis delivery;
  • clinical features;
  • testing


Psychogenic nonepileptic episodes (PNEEs) are characterized by involuntary episodic behavioral, sensory, motor, or psychic dyscontrol of psychological origin. Signs and symptoms of PNEE vary widely, and diagnosis based on semiology alone can be unreliable. Video electroencephalogram (EEG) is the gold standard for diagnosis of PNEE. Clinical features of the disease, course, and treatment options are discussed. There is a special emphasis on delivery of PNEE diagnosis, as patient reaction to diagnosis can moderate their prognosis.