| Popis: |
The purpose of this paper is to present the problem of the diagnosis of psychogenic pseudoepileptic seizures from the clinician's point of view and to stress some difficulties which neurologist, psychiatrist and general practitioner can be faced. In epilepsy centers from 10 to 20% of patients with diagnosis of drug resistant epilepsy had psychogenic pseudoepileptic seizures. Diagnosis of psychogenic pseudoepileptic seizures can be established on clinical symptomatology, several EEG recordings, long term EEG videotape recording and some neurological tests evaluating post-seizure reflexive responsiveness. In differential diagnosis examination of simple defensive reactions, provocation of seizure or its arrest using suggestion with placebo may be very helpful. Author stress the consequences from false diagnosis. Prolonged pseudoepileptic seizures very often are treated as status epilepticus including general anesthesia. |
