15th February 2025

A 28-year-old woman with epilepsy attends your neurology clinic.

A 28-year-old woman with epilepsy attends your neurology clinic. During the last year, she has experienced worsening seizure frequency despite multiple attempts to titrate her medication. You arrange for her to have 24-hour video-EEG monitoring, which captures a generalised seizure. On the EEG recording, you note there is no change between the activity before and during the seizure.

What is the most likely explanation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.