Clinical spectrum of psychogenic non epileptic seizures in children; an observational study

Seizure : the Journal of the British Epilepsy Association
Priyanka MadaanM Tripathi

Abstract

The current study was designed to analyze the clinical spectrum of Psychogenic non-epileptic seizures (PNES) in children. Children aged 6-16years with clinically suspected PNES, confirmed by short-term VEEG (STVEEG{video electroencephalogram}) and induction were classified as per Seneviratne classification. Stressors, associated co morbidities, Verbal IQ (Intelligence Quotient) and behavioral abnormalities were assessed using HTP(House tree person) test, DSM IV (Diagnostic and statistical manual of mental disorders) TR criteria, MISIC (Malin intelligence scale for Indian children) and CBCL (Child behaviour checklist). Eighty children with PNES {45 boys; mean age: 10.5 (±1.6) years} were enrolled. Median delay in diagnosis was 5 months {IQR(interquartile range)- 0.5 to 48 months}) and 45% patients were already on AEDs (antiepileptic drugs). Commonest semiology was dialeptic (42.5%), followed by mixed (28.8%), motor (15%) and nonepileptic aura (13.8%). Family stressors were the commonest followed by school related issues. The most common psychiatric comorbidity was adjustment disorder. Somatic complaints were observed in 50% children. Dialeptic PNES is commonest in children. In resource constrained settings, STVEEG along with ind...Continue Reading

Citations

Oct 1, 2019·Brain and Behavior·Francesca Felicia OpertoMarco Carotenuto
Dec 25, 2019·Seizure : the Journal of the British Epilepsy Association·Ali A Asadi-Pooya, Maryam Homayoun
Feb 12, 2021·Frontiers in Pediatrics·Li-Ping ZhangYu-Ping Wang
Feb 25, 2019·Seizure : the Journal of the British Epilepsy Association·Linda M Gonzalez, Jacquie A Wrennall
Jun 12, 2021·Neuropsychiatric Disease and Treatment·Alejandra Inés LanzillottiLuciana D Alessio
Jul 10, 2021·Seizure : the Journal of the British Epilepsy Association·Priyanka MadaanMohit Sharma
May 26, 2021·Neurology·Anne Sofie HansenRené Ernst Nielsen
Aug 11, 2021·Current Problems in Pediatric and Adolescent Health Care·Rajkumar AgarwalHara Stephanou
Jul 15, 2020·Seizure : the Journal of the British Epilepsy Association·Rohit GuptaAchal Kumar Srivastava

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