The Diagnosis of Psychogenic Nonepileptic Seizures
نویسنده
چکیده
About 25% of patients seen in epilepsy clinics and monitoring units who do not respond to antiepileptic drugs (AEDs) have received a misdiagnosis.1-3 The eventual diagnosis for most of these patients will be psychogenic nonepileptic seizure (PNES)1,4-a somatoform conversion disorder. It is treatable, but diagnosis, delivery of the diagnosis, and management present significant challenges. A major barrier to care has been the stigma associated with the label "psychogenic."
منابع مشابه
Long-term video EEG monitoring for diagnosis of psychogenic nonepileptic seizures
Psychogenic nonepileptic seizures have long been known by many names. A short list includes hysteroepilepsy, hysterical seizures, pseudoseizures, nonepileptic events, nonepileptic spells, nonepileptic seizures, and psychogenic nonepileptic attacks. These events are typically misdiagnosed for years and are frequently treated as electrographic seizures and epilepsy. These patients experience all ...
متن کاملIs patient acceptance of the diagnosis of psychogenic nonepileptic seizures linked to symptomatology?
INTRODUCTION An assessment was made of general symptoms in patients with psychogenic nonepileptic seizures (PNES), comparing those who do versus those who do not accept the diagnosis. METHOD A questionnaire pilot study of newly diagnosed psychogenic nonepileptic seizure patients confirmed by video electroencephalography (EEG) was carried out, using a 59-item general symptom questionnaire, wit...
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Paroxysmal nonepileptic spells are often difficult to diagnose in pediatric patients owing to overlapping clinical features with epileptic seizures. A diagnosis of epilepsy is typically associated with pharmacologic and social sequelae, and an incorrect diagnosis can create an unnecessary burden highlighting the need for proper identification of paroxysmal nonepileptic spells. The adolescent po...
متن کاملPsychogenic (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 کاملConversion disorder.
The diagnosis of psychogenic nonepileptic seizures has become easier with the assimilation of studies on the clinical categorization of seizure-like events (1), video EEG monitoring (2), measurement of serum prolactin (3), the selective use of neuropsychological tests (4), and various other diagnostic methods. Much less information is available to the clinician on what to do next. How should th...
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