Subjective and physiological response to emotions in temporal lobe epilepsy and psychogenic non-epileptic seizures

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Psychogenic non-epileptic seizures.

Psychogenic non-epileptic seizures (PNES) need to be differentiated from epileptic seizures as the management varies for both. Presence of tongue biting, falling and urinary incontinence favors a diagnosis of epileptic seizures. We report two children with features suggestive of epileptic seizures that were eventually diagnosed as PNES with the help of video-EEG monitoring.

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Epilepsy in patients with psychogenic non-epileptic seizures.

The aim of this study was to evaluate the frequency of epilepsy in patients who presented psychogenic non-epileptic seizures (PNES). The evaluation was carried out during intensive VEEG monitoring in a diagnostic center for epilepsy in a university hospital. The difficulties involved in reaching this diagnosis are discussed. Ninety-eight patients underwent intensive and prolonged video-electroe...

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Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement

The association between emotional stimuli and temporal lobe epilepsy (TLE) is largely unknown. Here, we report the case of a depressive, 50-year-old female complaining of episodes of a “spaced out” experience precipitated by emotional stimuli. Psychogenic non-epileptic seizures were suspected. However, video-EEG coupled with emotional stimuli-provoked procedures and MRI findings of amygdala enl...

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Psychogenic non-epileptic seizures: management and prognosis.

AIM To determine the outcome and identify predictive factors in children with psychogenic non-epileptic seizures (PNES). METHOD The biographies of 35 children with PNES, attending a tertiary paediatric neurology centre, were reviewed. RESULTS Thirty five children attending the department between 1987 and 1997 were evaluated at a mean follow up of 4.6 years. The age range was 6-18 years. Twe...

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Comparison of temporal lobe epilepsy with hippocampal sclerosis and temporal lobe epilepsies due to other etiologies

  Background: This study compares the clinical characteristics of patients with mesial temporal lobe epilepsy with hippocampal sclerosis (mTLE-HS) with those who have temporal lobe epilepsy (TLE) due to other etiologies.   Methods : In this retrospective study all patients with a clinical diagnosis of TLE were recruited in a referral outpatient epilepsy clinic at Shiraz University of Medical Sc...

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ژورنال

عنوان ژورنال: Journal of Affective Disorders

سال: 2019

ISSN: 0165-0327

DOI: 10.1016/j.jad.2018.10.004