Psychiatric diagnoses of patients with psychogenic non-epileptic seizures
| Autor: | Lia Arno Fiore, José Gallucci Neto, Mary Ann Von Bismark, Daniela Kurcgant, Renato Luiz Marchetti, Liliana Beccaro Marchetti |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty PNES Clinical Neurology Dissociative Disorders Electroencephalography Mental disorders Psychiatric diagnosis Severity of Illness Index Epilepsy Seizures Psychogenic non-epileptic seizures Severity of illness medicine Prevalence Psychogenic disease Humans Somatization disorder Psychiatry Conversion disorder medicine.diagnostic_test Videotape Recording General Medicine Middle Aged medicine.disease Diagnostic and Statistical Manual of Mental Disorders Conversion Disorder Neurology Female Pseudoseizures Differential diagnosis Neurology (clinical) Psychology |
| Zdroj: | Seizure. (3):247-253 |
| ISSN: | 1059-1311 |
| DOI: | 10.1016/j.seizure.2007.07.006 |
| Popis: | Summary Objective Our purpose was to present and discuss the psychiatric diagnoses of patients who presented psychogenic non-epileptic seizures (PNES) during video-electroencephalographic monitoring (VEEG). Methods Out of 98 patients, a total of 28 patients presented PNES during the diagnostic procedure. In those cases in which the PNES that occurred during VEEG were validated by clinical history (clinical validation), and by showing the recorded event on video to an observer close to the patient (observer validation), was defined psychogenic non-epileptic seizure disorder (PNESD). Psychiatric diagnoses were made according to DSM-IV. Results In 27, psychogenic non-epileptic seizures disorder was diagnosed. Fourteen patients presented only with psychogenic non-epileptic seizure disorder, 13 with both psychogenic non-epileptic seizures disorder and epilepsy, and one patient with epilepsy only. Psychiatric diagnoses were: 17 (63%) patients with conversion disorder, five (19%) with somatization disorder, two (7%) with dissociative disorder NOS, two (7%) with post-traumatic stress disorder and one (4%) with undifferentiated somatoform disorder. Conclusions Dissociative-conversion non-epileptic seizures are the most frequent finding, representing the pseudoneurological manifestation of mental disorders that have these symptoms as a common feature. Provisionally, they may be defined as dissociative-conversion non-epileptic seizure disorders. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|