Abstract
The purpose of the study was to evaluate the clinical characteristics of paroxysmal nonepileptic events (PNEs) in pediatric patients. Reports of 1108 patients who underwent long-term video-EEG monitoring at Seoul National University Children's Hospital were reviewed retrospectively. One hundred forty-three (12.9%) patients were diagnosed as having PNEs. The most common type of PNE was staring. Staring, tonic posturing, sleep myoclonus, and sleep-related disorders were more common in patients younger than 6 years old. Psychogenic nonepileptic seizure was the most common PNE in patients older than 6 years. Patients who were younger than 6 years old showed shorter disease duration and more varied types of PNEs when compared to older patients (6 years old or older). Presence of epilepsy was not significantly related to clinical difference in PNEs. In patients with developmental delay, staring and tonic posture were significantly more frequent than patients without developmental delay. Thirty-two patients without concurrent epilepsy were misdiagnosed with epilepsy, and AEDs were discontinued after the correct diagnosis of PNEs. Whenever the diagnosis of paroxysmal abnormal behavior is uncertain, correct diagnosis should be made usin...Continue Reading
References
May 1, 1991·Epilepsia·M E MetrickR B Loewenson
Jan 1, 1990·Neurology·J F Donat, F S Wright
Oct 1, 1995·Archives of Disease in Childhood·A Shuper, M Mimouni
Jun 1, 1996·Neurology·O DevinskyD Luciano
Apr 1, 1996·Pediatric Neurology·L CarmantS L Helmers
Nov 20, 1998·The Journal of Pediatrics·F RosenowH Hamer
Mar 23, 1999·Archives of Pediatrics & Adolescent Medicine·E WyllieB Wolgamuth
Jul 6, 2000·Seizure : the Journal of the British Epilepsy Association·S R Benbadis, W Allen Hauser
Sep 12, 2001·Neurology·S R BenbadisW O Tatum
Feb 13, 2002·Neurology·M ReuberC E Elger
Jun 7, 2003·Epilepsy & Behavior : E&B·Abuhuziefa AbubakrGloria Caldito
Sep 15, 2005·Epilepsy Research·Eishi AsanoHarry T Chugani
Oct 29, 2005·Epilepsy & Behavior : E&B·Silvia VincentiisNúbio Negrão
Jan 24, 2007·Epilepsia·Francesco MariAnna Teresa Giallonardo
Jul 25, 2007·Epilepsia·Hema PatelBhuwan Garg
Jan 1, 2008·Epilepsy & Behavior : E&B·Markus Reuber
May 6, 2008·Seizure : the Journal of the British Epilepsy Association·Maria A MontenegroCigdem I Akman
Jan 23, 2010·Epilepsy & Behavior : E&B·Ekrem KutluayAhmad Beydoun
Apr 1, 2011·Epilepsy & Behavior : E&B·Richard J BrownMarkus Reuber
Citations
Jul 16, 2014·Epilepsy & Behavior : E&B·Cristie M ColePaul J Ford
Nov 19, 2015·Epilepsy & Behavior : E&B·Ashok YadavJun Park
May 20, 2015·Pediatric Neurology·Lindsey A Morgan, Jeffrey Buchhalter
Feb 19, 2013·Epilepsy & Behavior : E&B·Ünsal YılmazAli Cansu
May 23, 2016·Epilepsy & Behavior : E&B·Adriana MagauddaGabriella Di Rosa
Aug 6, 2016·Epilepsy & Behavior : E&B·Cesare Maria CornaggiaMassimiliano Beghi
Dec 23, 2016·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Morten I LossiusKarl O Nakken
Mar 21, 2017·Epilepsy Research·Yuji ItoJun Natsume
Jun 7, 2013·Continuum : Lifelong Learning in Neurology·Selim R Benbadis
Apr 3, 2014·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Aman P S SohalNahin Hussain
Oct 1, 2019·Brain and Behavior·Francesca Felicia OpertoMarco Carotenuto
Aug 16, 2013·Epilepsia·Colin ReillyKrishna B Das
May 12, 2020·Pediatric Research·Anne S HansenRené E Nielsen
Feb 20, 2021·Seizure : the Journal of the British Epilepsy Association·Mohamed N ThabitMontaser M Mohamed
Feb 24, 2021·Epilepsy & Behavior : E&B·Selcan OzturkHuseyin Per
Jun 23, 2021·Clinical Neurology and Neurosurgery·Federica SulloPiero Pavone
Aug 11, 2021·Current Problems in Pediatric and Adolescent Health Care·Rajkumar AgarwalHara Stephanou