History | Witnessed event | EEG | |
Diagnostic level | |||
Possible | History characteristics consistent with PNES | By witness or self-report/description | No epileptiform activity in routine or sleep-deprived interictal EEG |
Probable | History characteristics consistent with PNES | By clinician who reviewed video recording or in person, showing semiology typical of PNES | No epileptiform activity in routine or sleep-deprived interictal EEG |
Clinically established | History characteristics consistent with PNES | By clinician experienced in diagnosis of seizure disorders (on video or in person), showing semiology typical of PNES, while not on EEG | No epileptiform activity in routine or ambulatory ictal EEG during a typical ictus/event in which the semiology would make ictal epileptiform EEG activity expectable during equivalent epileptic seizures |
Documented | History characteristics consistent with PNES | By clinician experienced in diagnosis of seizure disorders, showing semiology typical of PNES, while on video EEG | No epileptiform activity immediately before, during, or after ictus captured on ictal video EEG with typical PNES semiology |
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