Nonepileptic seizures in pregnancy

The authors report five patients with recurrent psychogenic seizures (PS) d uring pregnancy, with multiple emergency room visits and continued intake o f antiepileptic drugs obtained from various sources, despite awareness of t he psychogenic nature of their attacks and the risks of antiepileptic drug use in pregnancy. These patients demonstrate that preexisting PS may persis t during pregnancy, and there will be patients who continue to take antiepi leptic drugs despite awareness of the risks inherent to these treatments. N ew-onset or persisting PS with pregnancy can be indicative of serious emoti onal conflicts, and the child should be considered at risk.