Just so frustrated, it seems impossible to catch a seizure on EEG.
I have a PNES diagnosis, but my neurologist and I have only ever captured focal aware seizures on a video EEG. Based on that, I was given the PNES diagnosis. I agree that my drop seizures and other similar focal aware seizures are non-epileptic in nature and triggered by nervous system overload. (I'm autistic as well so that happens a lot even without trauma stuff.)
However, 1-2 times a year, I will have severe nocturnal clonic-tonic seizures, often involving falling out of bed and hurting my head. 1 week ago I had another one of these and I actually tore my rotator cuff on my left shoulder. There is no rhyme or reason I can tell behind them other than they occur every 5-8 months fairly regularly. I noticed no difference on or off Keppra.
My neurologist and I have done 2 5-day sleep studies trying to catch a clonic-tonic in order to either rule out epilepsy or, if the clonic-tonic ones are epileptic, then to characterize them on EEG. As I said these only captured nonepileptic focal aware seizures, and no loss of consciousness occurred. Insurance only covers 1 5-day test a year.
So now I'm just left uncertain if I need epilepsy treatment or more intensive psychotherapy in order to stop myself from suffering injuries 1-2 times a year in my sleep.
I plan on setting up a security camera to record 24/7 to try and get video data, but sadly my neuro said he didn't have the tech to let me record EEG data every night until I have a seizure.
Would love to hear your thoughts.