B - 41 Mild Head Injury (MHI), Unrelated Abnormal Brain Findings, Collateral Support, Video EEG and Neuropsychological Findings: a Case Study of Functional Seizure Disorder.

This article focuses on the diagnostic challenges of Functional Seizure Disorder (FSD), a type of conversion disorder influenced by biological, psychological, and social factors. It presents a case study of a young adult male who developed seizure-like episodes two weeks after a mild head injury (MHI) sustained in a motor vehicle accident. Video electroencephalogram (video-EEG) showed seizure-like behaviors without epileptiform activity, while a CT brain scan revealed symmetrical cerebral involutional changes inconsistent with the patient’s age. Neuropsychological testing indicated impairments in attention, cognitive flexibility, and processing speed, alongside above-average memory scores. The findings suggest that pre-existing brain immaturity or instability may predispose individuals to FSD, with video-EEG, neuropsychological assessment, and collateral information aiding in diagnosis.