How do you differentiate pseudoseizures from real seizures?
How do you differentiate pseudoseizures from real seizures? Evidence-based answer: During an attack, findings such as asynchronous or side-to-side movements, crying, and eye closure suggest pseudoseizures, whereas occurrence during sleep indicates a true seizure. After the event, the lack of any symptoms and a memory of the attack imply a pseudoseizure, whereas confusion, stertorous breathing, and an elevated serum prolactin level are more indicative of true seizures (SOR: B, systematic reviews of case control studies).
Evidence Based Practice 17(11): 1-2