Have nonepileptic seizures/psychogenic nonepileptic seizures (PNES)?

Posted by DrivenByME @drivenbyme, Nov 9, 2017

In January 2014, after a battery of tests, I was diagnosed with psychogenic non epileptic seizures (PNES.) Information was not as plentiful as the resources are now, yet what I did find offered no real hope of recovery. November 2017 I am 2 years seizure-free. I am hope to all who decide they ARE going to recover from PNES. I've made YouTube help guides for those searching (youtube.com/christinemauriello) I hope you find guidance you need, when you need it.
Please feel free to use this forum for anything related to PNES.
God bless

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

Profile picture for whs2026 @whs2026

For 3+ years, I have been dealing with the following daily, numerous debilitating symptoms, which were then diagnosed in 2/2025 (via an EMU) as Non-Epileptic Spells (NES) - Functional Neurological Disorder (FND):
1. Shortness-of-Breath, followed by
2. Total body weakness, followed by
3. Tightness in throat & face - difficult to speak, followed by
4. Chills
5. Pain in back between shoulder blades
6. Headaches
My spells occur out of nowhere all day and evening long, even during sleeping hours.
Does anyone know of a treatment program for NES?
Or has anyone had these symptoms and it was diagnosed as something else?
I also have Parkinson's.
I would greatly appreciate any help, information, guidance, etc.

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@whs2026
How long do these episodes last?
Jake

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Profile picture for Jake @jakedduck1

@whs2026
How long do these episodes last?
Jake

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@jakedduck1 My episodes last 20 minutes to three-four hours; the spells are constant, happening all day & evening long and come out of nowhere...can be sitting, and I get a spell. Also, after taking a shower, drying dishes or taking clothes out of the dryer, I get a spell. Sometimes before I sit down for a meal, I get a spell.Also, I get a spell during the sleeping hours. Basically, the spells are non-stop with short breaks in between.

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Profile picture for whs2026 @whs2026

@jakedduck1 My episodes last 20 minutes to three-four hours; the spells are constant, happening all day & evening long and come out of nowhere...can be sitting, and I get a spell. Also, after taking a shower, drying dishes or taking clothes out of the dryer, I get a spell. Sometimes before I sit down for a meal, I get a spell.Also, I get a spell during the sleeping hours. Basically, the spells are non-stop with short breaks in between.

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@whs2026 Meant to mention the symptoms of my "Spells":
1. Shortness-of-Breath, followed by
2. Total body weakness, followed by
3. Tightness in throat & face - difficult to speak, followed by
4. Chills
5. Pain in back between shoulder blades
6. Headaches

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Profile picture for Jake @jakedduck1

@whs2026
How long do these episodes last?
Jake

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@jakedduck1 Additional information regarding my episodes/spells....
Meant to mention the symptoms of my "Spells":
1. Shortness-of-Breath, followed by
2. Total body weakness, followed by
3. Tightness in throat & face - difficult to speak, followed by
4. Chills
5. Pain in back between shoulder blades
6. Headaches

REPLY
Profile picture for hosey70 @hosey70

i make sure he isnt gonna hit anything or fall then i talk to him his neurologist gave me diazepam to give him to help stop them. but he holds his breath looks like he is being zapped his legs and arm arm stretched out fist are tight and he holds his breath. they look so painful sometimes i can get him to swallow pill between them. his last for 30 to an hour sometimes he has one comes out of it goes right back over and over. i dont want to not get him to er and something more happens

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@hosey70 sounds like Cluster Seizures. My son has had them for years diagnosed at age 2 with epilepsy, Lennox-Gastaut Syndrome. Which has a distinct effect on EEG. Started with Multiple myoclonic jerks at an early age. He would have up to a hundred at a time, like rapid fire. Now that he is older, 37 he has similar episodes to what you described your husband having. Our son is mostly non-verbal so hard to know what he feels like. In the last 6 months he’s had 2 episodes of cluster seizures that have persisted for 6-8hrs. Both times related to UTI. The difference in our son’s case is each seizure usually lasts less than 60 seconds but repeats every 1-2 minutes. And again he has a distinct abnormal EEG with slow spike waves. A little over 2 years ago our youngest daughter was diagnosed with epilepsy after 3 episodes of “passing out” with short lose of consciousness, yet normal EEG. What prompted the diagnosis was when her husband FaceTimed me while she was seizing (generalized tonic type) that lasted at least 2-3 minutes followed by stupor/confusion. She slept on and off most of that day. She’s had one episode that I know of since diagnosis and being placed on anti seizure meds. Have you video taped any of these episodes? Might be helpful to show doctors.
Hoping you can get some answers soon.

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I just had a VEEG done this week. I’m home now. Got discharged yesterday and I learned that I have functional seziures and may have epilepsy also.

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Your poor husband!!!! ...... I feel for him!
After experiencing an incident where I couldn't speak for a minute or two, they diagnosed me with a seizure or stroke. They put me on 2000 mg of Keppra and two months later decided I didn't have a seizure or a stroke but they did release a lot of blood which was pushing my brain to the right. It was caused by excessive Plavix Prescribed by the Doctor who put in my watchmen heart screen.
Trying to get off Keppra now Is extremely difficult. I have A very gentle taper but it still feels like I'm coming off something like heroin. i'm down to 250mg for a nine day period and each session feels like a Cannonball has been added taxing my weight and strength. Strangely my wife says I look like I have more energy .....Does anybody have any experience with similar and can anybody assure me that it will go away and how long? Thanks, Pete

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@peterkanyuk
It's sounds like your taper is too quick and causing withdraw symptoms.. I’d slow it down considerably.
Take care,
Jake

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Profile picture for hosey70 @hosey70

My hisband was in a motorcycle accident 2014and he start having seizures he had a bleed on his brain. 2014 they said it was real seizures but after many many test doctors many things they say they are not real seizures. i dont know what to tell ER when i have to take him. he cant work because he is off balance and gets confused easily. So i know as a man father and always worked 2 to 3 jobs at a time. now cant work i know it bothers him. he sees a counselor and a psychologist but he still has them. the doctor at ER 2 Nights agosaid for me not to bring him to er unless he is hurt to just let him have these attacks seizures whatever at the house. sometimes they will go on for 30 min stop and then start back. i am afraid it will hard him doing it so long. the doctors at hospital say they cant do anything i just wish someone could help his reg doctor would like us to go to mayo see if they can help. We are afraid if we go to mayo they are gonna tell us the same and send us home with same as all do here. we live about 5 hours away so i dont know what to do its an awful thing we feel helpless

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@hosey70 What helped me the most was an MRI of the brain. They discovered a growth in the center of my brain they thought was the focus of my epilepsy. After removing it, my epilepsy seemed to disappear. No more seizure activity since. I was having grand mal seizures often before the surgery. Consider getting an MRI of the brain done.

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Profile picture for Jake @jakedduck1

@meagan
I have never had a PNES episode, at least not that I know of.
You mentioned the Keppra helped you. By that I assume you mean, they have decreased the number of seizures.
Anti-seizure medication has no effect on PNES episodes.
There are some differences between a seizure caused by epilepsy, and when caused by PNES. One difference is that virtually all epilepsy patients have their eyes open during a seizure while during PNES episodes the eyes are generally closed. Another difference is that seizures caused by epilepsy are normally always shorter than those caused by PNES.
Also episodes of PNES movements seem to be different from episodes where as epilepsy seizures are of a more consistent nature. There are other differences that I can't remember.
Has anyone witnessed one of your attacks?
Have you had these seizures/episodes since being on Keppra?
Do you have anxiety, depression or panic attacks?
Take care,
Jake

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@jakedduck1 I did have responses to my grand mal seizures by people who earlier witnessed them. I would often drop to the floor and shake, rattle & get stiff afterwards. I'd often bite my tongue or lip or cheek as well. My girlfriend saw me fall out of bed one time, as I started to shake uncontrollably. She turned me over to my side so I wouldn't swallow my tongue. She knew what she was doing to help me. I later had one grand mal at work, even though I was on the most medication I could take at the time. I just dropped to the floor and rattled & rolled & shook like crazy. My foreman was livid. He insisted i see my Dr. real soon. He was afraid I'd hurt myself on the machinery. My dr. planned an MRI soon after. he discovered a tumor in my right temporal lobe & a growth in the center of my brain. Both were removed a month later. I happen to be on a precautionary drug (Valproic Acid.) I'm as happy as a lark w\my life now! No more symptoms since.

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