PMID: 15227961Jul 2, 2004Paper

Phenomenology and psychiatric origins of psychogenic non-epileptic seizures

Srpski arhiv za celokupno lekarstvo
Aleksandar J RistićDragoslav Sokić

Abstract

Psychogenic nonepileptic seizure (PNES) is a sudden change in a person's behavior, perception, thinking, or feeling that is usually time limited and resembles, or is mistaken for, epilepsy but does not have the characteristic electroencephalographic (EEG) changes that accompanies a true epileptic seizure [1]. It is considered that PNES is a somatic manifestation of mental distress, in response to a psychological conflict or other stressors [2]. A wide spectrum of clinical presentation includes syncope, generalized tonic-clonic seizure, simple and complex partial seizure, myoclonic seizure, frontal lobe seizures and status epilepticus [3]. Coexistence of epilepsy and PNES is seen in approximately 9% of cases [5]. Between 25-30% of patients referred to tertiary centers and initially diagnosed as refractory epilepsy were on further examination diagnosed as PNES [6, 7]. In DSM-IV [12] PNES are usually categorized under conversion disorder with seizures or convulsions. However, psychiatric basis of PNES may be anxiousness (panic attack), somatization or factitious disorder, simulation, dissociative disorders and psychosis [1]. The aim of the study was to establish clinical phenomenology and EEG characteristics as well as basic psych...Continue Reading

References

Oct 1, 1980·The Journal of Pediatrics·G L HolmesF E Dreifuss
Jun 1, 1995·Epilepsia·J D SlaterR E Ramsay
Nov 1, 1995·Epilepsia·T S WalczakA Notarfrancesco
Oct 17, 1998·The Psychiatric Clinics of North America·E S Bowman
Aug 17, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·R J Brown, M R Trimble
Aug 30, 2002·Epilepsia·Markus ReuberChristian E Elger

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Citations

Oct 13, 2014·Neurophysiologie clinique = Clinical neurophysiology·S Hustvedt
Dec 8, 2009·Seizure : the Journal of the British Epilepsy Association·Hilde Nordahl KarterudKarl Otto Nakken
Jul 6, 2020·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·M A KutlubaevE D Belousova
Aug 29, 2018·Frontiers in Neurology·Domenico ChirchigliaRosa Marotta

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