The Truth about Psychogenic NonEpileptic Seizures | Epilepsy Foundation
نویسنده
چکیده
Psychogenic nonepileptic seizures (PNES) are an uncomfortable topic, one which is difficult for both patients and healthcare professionals to discuss as well as treat, and yet it is estimated that PNES are diagnosed in 20 to 30% of patients seen at epilepsy centers for intractable seizures.1 Moreover, in the general population the prevalence rate is 2-33 per 100, 000, making PNES nearly as prevalent as multiple sclerosis or trigeminal neuralgia.2 Despite these startling statistics, PNES has largely remained a conversation held behind closed doors and in hushed tones throughout the medical community—until now.
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 کاملThe Diagnosis of Psychogenic Nonepileptic Seizures
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 majo...
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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 کاملPersonality Profiles of Patients with Psychogenic Nonepileptic Seizures
Despite the substantial prevalence of psychogenic disorders (from 50% to 70% of patients who report to physicians of various specialities are treated for psychogenic, functional disorders), these disorders continue to be relatively poorly understood (Hamilton et al., 1996; Mace & Trimble, 1996). Psychogenic nonepileptic seizures (PNES) are one variety of psychogenic disorders. PNES are sudden c...
متن کاملInforming patients about the impact of provocation methods increases the rate of psychogenic nonepileptic seizures during EEG recording.
Observation of psychogenic nonepileptic seizures (PNESs) during video-EEG represents the diagnostic gold standard for PNESs. Different provocative techniques have been used to increase PNES frequency during EEG. These techniques include placebo administration, suggestion strategies, or both. In order to avoid the appearance of deception, we investigated the following hypothesis: If patients wit...
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تاریخ انتشار 2016