UNLABELLED Patients with epilepsy may have additional psychogenic non-epileptic seizures (PNES). It has been suggested that PNES are more common if patients with epilepsy are female, develop epilepsy later in life and have right-sided brain lesions. We examine whether these or other physical factors affect the risk of PNES in patients with epilepsy in a controlled study. METHODS Ninety consec...

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)...

Commentary Patients with psychogenic nonepileptic seizures (PNES) have historically lived in the borderland between neurologists and psychiatrists, with neither group taking ownership of patient care. Past approaches to the diagnosis of PNES have largely focused on " removing the diagnosis of epilepsy " and sending the patient for psychiatric but not necessarily neurologic follow-up. Making the...

In the wake of Charcot, École de la Salpêtrière became passionate about major crises or hysterical attacks: at time, hysteria was not just this great crisis, even if it represented an ideal heuristic model for a patient presentation that left lasting impression on people's minds. The attack is framework study hystero-epilepsy opens way to psychopathological explanation. heirs School's knowledge...

A follow-up study was performed in 33 patients with proven (ictal EEG-CCTV) psychogenic, non-epileptic seizures (PNES). These patients received a questionnaire to evaluate seizures, treatment and rehabilitation. The response group consisted of 21 females (80% response) and seven males (100% response). Follow-up after diagnosis varied from 23-67 months. Seven patients (25%) reported that seizure...

PURPOSE The average delay from first seizure to diagnosis of psychogenic non-epileptic seizures (PNES) is over 7 years. The reason for this delay is not well understood. We hypothesized that a perceived decrease in seizure frequency after starting an anti-seizure medication (ASM) may contribute to longer delays, but the frequency of such a response has not been well established. METHODS Time ...

Psychogenic non-epileptic seizures (PNES) is a relevant differential diagnosis in epilepsy clinics because of its high prevalence and impact on patient’s lives and health care services. An approach to the diagnosis and treatment of PNES is important, and many issues make the subject challenging. Video electroencephalography (VEEG) is considered the gold-standard for PNES diagnosis but there is ...

INTRODUCTION It is estimated that up to 25% of patients referred to specialised epilepsy centers suffer from psychogenic non-epileptic seizures (PNES). The prognosis is unfavourable and there are no generally accepted treatment protocols. METHOD In this study, the effect of an uncontrolled, prospective inpatient treatment program for PNES patients is evaluated. The treatment is multidisciplin...

BACKGROUND Epileptic seizures (ES) lead to alterations in the blood laboratory values and reflect changes in different organ systems. Here, we review the diagnostic and prognostic value of various blood laboratory values within the context of epilepsy. METHODS Narrative review and literature search on PubMed using the term, "seizure" and various laboratory values. RESULTS Laboratory markers...