Epileptic and non-epileptic psychogenic seizures: the importance of differential diagnosis
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https://doi.org/10.31766/revpsij.v34n1a6Keywords:
Psychogenic non-epileptic seizures, differential diagnosis, comorbidity, psychiatric disorders, psychological variablesAbstract
Psychogenic Non-Epileptic Seizures (PNES) are paroxysmal episodes of altered behavior without the expected changes in the electroencephalogram neither the association with a dysfunction of the central nervous system.
PNES constitute a diagnostic challenge for neurologists, psychiatrists and/or psychologists, as well as also therapeutic challenge can suppose given the contextual complexity of many cases. Psychopathologic and clinical examination and the study with EEG video are the complementary tests that provide the most relevant information for the diagnosis.
The aim of presenting this Case Report is to highlight the difficulty of differential diagnosis between epilepsy and PNES, emphasizing the importance of the multidisciplinary approach and the early detection, to design a specific treatment that allow a clinical and prognostic improvement.
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References
APA (American Psychiatric Association). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). American Psychiatric Publishing: Washington DC; 2013.
Sánchez-González R et al. Crisis no epilépticas psicógenas: a propósito de un caso. Actas Esp Psiquiatr 2011; 39: 191-5.
Muñoz L, Gordillo R, de Burgos R. Pseudocrisis en niños y adolescentes: una revisión. Rev Psiquiatr infanto-juv 2011; 28 (3): 12-36.
Bowman ES, Markand ON. Psychodynamics and psychiatric diagnoses of pseudoseizure subjects. Am J Psychiatry 1996; 153: 57-63.
Baillès E, Pintor L, Torres X, Fernández-Egea E, De Pablo J, Arroyo S. Patología psiquiátrica en pacientes con crisis epilépticas no psicógenas derivados a una unidad de epilepsia en un hospital general. Actas Esp Psiquiatr 2004; 32: 76-81.
Kalogjera-Sackellares D, Sackllares JC. Personality profiles of patients with pseudoseizures. Seizure 1997; 6: 1-7.
Reuber M: Outcome in psychogenic nonepieptic seizures: 1 to 10 year follow up in 164 patients. Ann Neurol 2003; 53: 305-11.
Krumholz A. Nonepileptic seizures: diagnosis and management. Neurology 1999; 53: S76-S83.
Giagante B, D’Alessio L, Silva W, Kochen S. Crisis no epilépticas psicógenas. Rev Colombiana Psiquiatría 2007; 36: 187-207.
Bhatia MS, Buchanan N, Snars J. Pseudo seizures (non- epileptic attack disorder) – Clinical management and outcome in 50 patients. Seizures 1993; 2: 141-146.
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