A COMPARITIVE STUDY OF PSYCHAITRIC DISORDERS AMONG PATIENTS WITH EPILEPTIC SEIZURES WITH VERSUS WITHOUT PSYCHOGENIC NON EPILPETIC SEIZURES

The International League Against Epilepsy defines psychogenic nonepileptic seizures (PNESs) as attacks that superficially mimic epileptic but without any electrophysiological evidence of abnormal neuronal activity(1). PNESs are considered Experiential and behavioral responses to triggers , either external or internal resembles neither associated with discharges in the electroencephalogram (EEG) nor other readily identifiable pathophysiological changes(2). PNES does not finds home psychology medical settings because its pseudo neurological psychological features, thus, management PNES, remains a challenge it involves combined effort psychologist, psychiatrist, neurologist(3)The epidemiology dual diagnosis epilepsy is considerably uncertain ; actively comorbid has been reported 6%to 60% patients PNES.(4,5)Patients were found have high rates psychiatric disorders, nearly all having at least one current additional disorder. comorbidities may act precipitator coexist such direct relation.(4)For an accurate be reached both meticulous history taking episodes semiology coherent characteristic features video-EEG recording lacks epileptiform activity stages (i.e., immediately before, during after ictal event) required. (6)