Psychogenic Non-epileptic Seizure in a Laboring Female: A Case Report

TL;DR

This case report describes a rare instance of psychogenic non-epileptic seizures during labor, highlighting the importance of considering this diagnosis in similar situations.

Contribution

The novelty lies in presenting a rare case of PNES during labor and emphasizing its diagnostic significance in this specific clinical context.

Findings

PNES can mimic epileptic seizures and may occur during labor.

The case illustrates the importance of considering PNES in the differential diagnosis of seizure-like activity in laboring females.

Abstract

Psychogenic non-epileptic seizures (PNES) are seizure-like activities characterized by motor and sensory impairments that are mild and mimic other medical conditions. They are commonly associated with psychiatric conditions and are typically a diagnosis of exclusion. These episodes are generally uncommon and rarely seen in pregnancy or labor. The treatment consists of managing the underlying cause as well as cognitive behavioral therapy. They may mimic absence seizures, which are diagnosed when there are episodes of staring present. This report presents the case of a 26-year-old laboring female who experienced multiple psychogenic seizures. The purpose of this case report is to illustrate how psychogenic non-epileptic seizures (PNES) can imitate epileptic or absence seizures and, thus, should be a diagnosis considered in females in labor.