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Psychogenic nonepileptic seizures: to the issue of diagnosis and patient management (with a case report)
- Source :
- Эпилепсия и пароксизмальные состояния, Vol 13, Iss 2, Pp 147-156 (2021)
- Publication Year :
- 2021
- Publisher :
- IRBIS LLC, 2021.
-
Abstract
- Establishing misdiagnosis “epilepsy” is a common event comprising 25% total cases of “pharmacoresistant” forms. Eventually, the majority of cases resulted in diagnosing psychogenic nonepileptic seizures, or functional seizures, conversion seizures, and dissociative seizures. Here we review publications assessing psychogenic non-epileptic seizures. The scientific resources for analysis were selected in Russian (eLibrary) and international (Pubmed/MEDLINE, Google Scholar) databases, as well as in open access resources. We also present a clinical case of a patient diagnosed with epilepsy. In particular, the patient was admitted to the hospital with complains of paroxysmal conditions starting as headache, nausea proceeding with speech arrest and decreased mindfulness of what happens in personal life. He also informed about at least two episodes of disorientation described as “missed public transport stop” and “finding himself in unfamiliar place”. The patient underwent examination (electroencephalography, brain magnetic resonance imaging) and dynamic follow-up to verify origin of such conditions. As a result, he was diagnosed with psychogenic non-epileptic seizures. Administering proper therapy allowed to achieve stabilized condition and arrest seizures. The criteria provided in the review as well as clinical case report may help clinical practitioners to timely conduct differential diagnostics and deliver specialized medical aid.
- Subjects :
- Pediatrics
medicine.medical_specialty
Mindfulness
Nausea
diagnosis
MEDLINE
Electroencephalography
03 medical and health sciences
Epilepsy
0302 clinical medicine
medicine
Psychogenic disease
030212 general & internal medicine
RC346-429
Conversion disorder
medicine.diagnostic_test
psychogenic nonepileptic seizures
treatment
business.industry
conversion disorder
medicine.disease
Patient management
Neurology
epilepsy
Neurology (clinical)
prognosis
Neurology. Diseases of the nervous system
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- Russian
- ISSN :
- 23114088 and 20778333
- Volume :
- 13
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Эпилепсия и пароксизмальные состояния
- Accession number :
- edsair.doi.dedup.....93c216bf1ebe8a3c24f48ec79451039e