psychogenic nonepileptic seizures in ‎adult neurology clinics in southern ‎iran: a survey of neurologists

نویسندگان

ali asadi-pooya neuroscience research center, school of medicine, shiraz university of medical ‎sciences, shiraz, iran and jefferson comprehensive epilepsy center, department of ‎neurology, thomas jefferson university, philadelphia, usa

چکیده

background: we investigated the perceptions of the neurologists practicing in fars province in southern iran about psychogenic nonepileptic seizures (pnes); their diagnostic processes and management strategies. methods: in this survey, all neurologists participating at the annual meeting of neurologists were asked to participate. these neurologists practice in fars province. an anonymous questionnaire was specifically developed for this study. results: about 18 neurologists (14 males and four females), out of 20 attendees, agreed to participate in the study. the mean age of the participants was 41.6 ± 7.5 years. they estimated that 10.8% of patients attending their clinic had seizures or blackouts, whereas 4.4% of patients attending their clinic had pnes. the experiences of the participants about the manifestations that potentially differentiate pnes from epileptic seizures; the tests they use to diagnose suspected patients and their treatment strategies showed significant variability. for example, the tests the neurologists always used for the diagnosis of pnes in suspected patients included routine electroencephalographs (eegs) by 9 (50%), video-eeg monitoring by 4 (22%), and serum creatine phosphokinase (cpk) measurement by 2 (11%). conclusion: there is much variability in the approaches to diagnosis and management of pnes in southern iran. the participants in our study were aware of the many knowledge gaps in this area.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Psychogenic nonepileptic seizures in adult neurology clinics in southern Iran: A survey of neurologists

BACKGROUND We investigated the perceptions of the neurologists practicing in Fars province in Southern Iran about psychogenic nonepileptic seizures (PNES); their diagnostic processes and management strategies. METHODS In this survey, all neurologists participating at the annual meeting of neurologists were asked to participate. These neurologists practice in Fars province. An anonymous questi...

متن کامل

Patients' and neurologists' perception of epilepsy and psychogenic nonepileptic seizures.

PURPOSE Although differences in illness perceptions between neurologists and patients with epilepsy or psychogenic nonepileptic seizures (PNES) are likely to be clinically relevant, this is the first study to attempt a direct comparison. In addition, this study compares the illness perceptions of patients with epilepsy with those of patients with PNES. METHODS Thirty-four patients with epilep...

متن کامل

Psychogenic (nonepileptic) seizures.

Psychogenic (nonepileptic) seizures are among the most common and serious of all psychogenic neurological disorders. They account for approximately 20% of all intractable seizure disorders referred to comprehensive epilepsy centers and present with a reported annual incidence of approximately 4% that of true epilepsy. These events are serious and disabling. Indeed, compared with patients with t...

متن کامل

Psychogenic Nonepileptic Seizures

Pyschogenic nonepileptic seizures (PNES) are common and potentially harmful – both physically and emotionally – events. They are often under or misdiagnosed. Not only neurologists managing epilepsy, but also generalists and ER physicians should be aware of its existence, preventing unnecessary tests, as well as, iatrogenic interventions. The assistance provided to these patients is often inadeq...

متن کامل

Psychogenic Nonepileptic Seizures: A Treatment

showed there were 96 articles published on the topic during the 1980s, 243 articles published during the 1990s, and 426 articles published during the 2000s. This growing interest in the topic has propelled a renewed enthusiasm in Table 1 Limitations in the conduction of psychogenic nonepileptic seizures (PNES) clinical trials9,14,40–42 Limitations Obstacles intrinsic to PNES psychopathology • E...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of neurology

جلد ۱۵، شماره ۲، صفحات ۱۰۰-۱۰۲

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023