Confirming psychogenic nonepileptic seizures with video-EEG: sex matters

Epilepsy & Behavior : E&B
Katherine H NoeDona E C Locke

Abstract

The influence of gender on psychogenic nonepileptic seizures (PNES) diagnosis was examined retrospectively in 439 subjects undergoing video-EEG (vEEG) for spell classification, of whom 142 women and 42 men had confirmed PNES. The epileptologist's predicted diagnosis was correct in 72% overall. Confirmed epilepsy was correctly predicted in 94% men and 88% women. In contrast, confirmed PNES was accurately predicted in 86% women versus 61% men (p=0.003). Sex-based differences in likelihood of an indeterminate admission were not observed for predicted epilepsy or physiologic events, but were for predicted PNES (39% men, 12% women, p=0.0002). More frequent failure to record spells in men than women with predicted PNES was not explained by spell frequency, duration of monitoring, age, medication use, or personality profile. PNES are not only less common in men, but also more challenging to recognize in the clinic, and even when suspected more difficult to confirm with vEEG.

References

Nov 1, 1996·Acta Neurologica Scandinavica·K K MohanV Salanova
Jul 22, 1998·Epilepsia·K R Sigurdardottir, E Olafsson
Nov 10, 1998·Seizure : the Journal of the British Epilepsy Association·R C MartinR Kuzniecky
Feb 13, 2002·Neurology·M ReuberC E Elger
Jan 27, 2004·Seizure : the Journal of the British Epilepsy Association·Taoufik M AlsaadiSarah Farias
Aug 27, 2004·Epilepsia·Selim R BenbadisLeanne Heriaud
Jan 12, 2005·Seizure : the Journal of the British Epilepsy Association·M OtoR Duncan
Sep 9, 2005·Epilepsia·Barbara A DworetzkyEdward B Bromfield
Jun 14, 2006·Neurology·W Curt LaFrance, Selim R Benbadis
Mar 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Louise PiloteVicky Tagalakis
Jun 6, 2007·Circulation·P E Norman, J T Powell
Apr 1, 2011·Epilepsy & Behavior : E&B·Richard J BrownMarkus Reuber
Jun 3, 2011·Pediatrics in Review·Hema PatelRochelle Caplan
Aug 5, 2011·Epilepsy & Behavior : E&B·J D JirschD W Gross

❮ Previous
Next ❯

Citations

Sep 12, 2013·Epilepsy & Behavior : E&B·Alissa A ThomasKrzysztof A Bujarski
Feb 11, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Amir ArainNabil J Azar
Dec 3, 2014·Epilepsy & Behavior : E&B·Scott D SpritzerJoseph F Drazkowski
Jan 23, 2016·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Ali A Asadi-Pooya
Mar 10, 2016·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Ali A Asadi-Pooya
Oct 4, 2012·Epilepsy & Behavior : E&B·Marie AtkinsonAashit Shah
Sep 1, 2012·Epilepsy Currents·Rochelle Caplan
Mar 10, 2017·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Ali A Asadi-Pooya
Nov 29, 2020·Epilepsy & Behavior : E&B·Marcia J KaplanAssia Meziane-Tani
Jan 21, 2020·Seizure : the Journal of the British Epilepsy Association·Tanuwong ViarasilpaStephan A Mayer
Oct 16, 2020·Current Psychiatry Reports·Randi LibbonSusan Mikulich
May 22, 2021·Seizure : the Journal of the British Epilepsy Association·Gislaine BaroniAndré Palmini

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Related Papers

Seizure : the Journal of the British Epilepsy Association
Renato Luiz MarchettiLia Arno Fiore
Seizure : the Journal of the British Epilepsy Association
M OtoR Duncan
© 2022 Meta ULC. All rights reserved