- Disproportionately occurs at night
- Onset: Staring; Lip-smacking / grimacing
- May include a variety of behaviors / utterances
- Loss of awareness of environment (total amnesia for event)
- Duration: Seizure <4 min. Post-ictal maybe up to 1-2 hrs.
Cannot distinguish between complex partial seizure and Dissociative State by history alone
Work-Up- MRI — to r/o Mass
- EEG (sleep-deprived) — to rule-in Seizure
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Send to Neurology
- May rarely require hospitalization for videotaping w/ EEG
- May very rarely need temporal lobe electrode to capture