A. Ictal stage
1.Head movements:
Fixed v/s Side to Side
Not known
Fixed
Side-to-Side
2. Eyelids:
Open v/s Closed
Not known
Open
Closed
3. Light reflex:
Absent v/s Present
Not known
Absent
Present
4. Corneal touch:
No response v/s Guarding response
Not known
No response
Guarding response
5. Vocalization:
No v/s Yes
Not known
No
Yes
6. Tongue injury:
Bite on side v/s Bite on tip
Not known
Bite on side
Bite on tip
7. Limb movements
-7.1 Synchronous:
Yes v/s No
Not known
Yes
No
-7.2 Continuous:
Yes v/s No(with pauses)
Not known
Yes
No(with pauses)
-7.3 Typical:
Yes(tonic, clonic or both) v/s No
Not known
Yes(tonic, clonic or both)
No
8. Duration:
2-3 v/s 3 min but TS may also be prolonged
Not known
2-3 min
More than 3
min
B. Post-ictal stage
9. Breathing
-9.1 Deep:
Yes v/s No)
Not known
Yes
No
-9.2 Regular:
Yes v/s No
Not known
Yes
No
-9.3 Loud:
Yes(with snoring) v/s No
Not known
Yes(with snoring)
No
-9.4 Duration:
5 minutes v/s 1 minute
Not known
5 minutes
1 minute
10. Recall of events:
No v/s Yes
Not known
No
Yes
11. Confusion:
Yes v/s No
Not known
Yes
No
12. Headache:
Yes v/s No
Not known
Yes
No
13. Fatigue:
Yes v/s No
Not known
Yes
No
A score near to 0 is indicative of ambiguity about whether true seizure or PNES. Nearer the score to +18, higher the chances of it being a true seizure. Near the score to -18, higher the chances of it being a PNES. THIS SCREENING TOOL IS NOT VALIDATED. Ref: Ali S, Jabeen S, Arain A, Wassef T, Ibrahim A. How to Use Your Clinical Judgment to Screen for and Diagnose Psychogenic Nonepileptic Seizures without Video Electroencephalogram. Innov Clin Neurosci. 2011;8(1):36-42.
(v1)+(v2)+(v3)+(v4)+(v5)+(v6)+(v7)+(v8)+(v9)+(v10)+(v11)+(v12)+(v13)+(v14)+(v15)+(v16)+(v17)+(v18)
Result - Copy or Print this text: