Psychogenic non-epileptic seizures in early Huntington's disease
| Autor: | Rodrigues, Filipe Brogueira, Wild, Edward J |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty medicine.drug_class Population Neurological examination A Difficult Case Disease Dissociative pseudoseizures 03 medical and health sciences 0302 clinical medicine Huntington's disease Seizures Psychogenic non-epileptic seizures case reports Prevalence medicine Humans Psychogenic disease Psychiatry education Neurologic Examination education.field_of_study medicine.diagnostic_test Cognition General Medicine Middle Aged medicine.disease Huntington Disease 030104 developmental biology Neurology (clinical) Cognition Disorders Psychology 030217 neurology & neurosurgery |
| Zdroj: | Practical Neurology |
| ISSN: | 1474-7766 1474-7758 |
| DOI: | 10.1136/practneurol-2016-001423 |
| Popis: | Huntington's disease (HD) is a neurodegenerative condition characterised by motor dysfunction with involuntary movements and loss of voluntary control, cognitive deterioration and psychiatric problems. We report a 51-year-old man with early HD who experienced stereotyped episodes of repetitive, purposeless complex movements and unresponsiveness. His neurological examination was compatible with HD as were all investigations. We diagnosed psychogenic non-epileptic seizures. While seizures are common in juvenile-onset HD, they are no more prevalent in adult-onset HD than in the general population. However, neuropsychiatric symptoms are common in HD and can involve a number of different complaints. Patients may experience dissociative attacks soon after manifesting a HD diagnosis. Such episodes can be managed with patient and carer education, cognitive behavioural therapy and anxiolytic selective serotonin reuptake inhibitors. |
| Databáze: | OpenAIRE |
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