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"psychogenic non-epileptic seizures"

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https://www.readbyqxmd.com/read/27908324/-psychotherapeutic-treatment-of-psychogenic-non-epileptic-seizures
#1
Dröfn Hilmarsdóttir, Steffen Birk, Charlotte Ulrikka Rask
Psychogenic non-epileptic seizures (PNES) are seizures which clinically resemble epileptic seizures but are without concurrent abnormal electrical charges. Though PNES can be just as serious and disabling as epileptic seizures, specific treatment guidelines are lacking, and different types of treatments are used. In this article we address the current research on psychotherapeutic treatment for PNES by discussing recent reviews and six randomized controlled trials (RCTs) on the subject. In conclusion, larger well-designed RCTs are needed in order to support the evidence for psychological interventions for this patient group...
November 28, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27898362/psychogenic-non-epileptic-seizure-in-patients-with-intellectual-disability-with-special-focus-on-choice-of-therapeutic-intervention
#2
Kousuke Kanemoto, Hiroko Goji, Yukari Tadokoro, Etsushi Kato, Tomohiro Oshima
PURPOSE: There have been a number of studies exploring treatments for psychogenic non-epileptic seizure (PNES) but largely neglecting the sizable subgroup of patients with intellectual disability (ID). In the present study, we attempted to demonstrate effects and preferred modes of therapeutic intervention in PNES patients with ID being treated at a Japanese municipal center with a short referral chain. METHODS: We examined 46 PNES patients with ID (ID group) and 106 PNES patients without ID (non-ID group) retrospectively in case charts...
November 14, 2016: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/27863319/aberrant-gamma-band-cortical-sources-and-functional-connectivity-in-adolescents-with-psychogenic-non-epileptic-seizures-a-preliminary-report
#3
Shreekantiah Umesh, Sai Krishna Tikka, Nishant Goyal, Vinod Kumar Sinha, Shamshul Haque Nizamie
Psychogenic non-epileptic seizures (PNES) resemble epileptic seizures, but lack clinically evident abnormal electrical activity in the brain. We aimed to assess resting gamma spectral power, current source distribution and functional connectivity in adolescents with PNES. Interictal, 32 channels electroencephalographic recording of 15 adolescents with PNES was compared with 10 matched healthy controls. Spectral power, current source distribution and lagged linear coherence were assessed. Statistically significant gamma spectral power, cortical sources and connectivity pattern was found in some brain areas...
November 10, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27845151/data-fusion-for-paroxysmal-events-classification-from-eeg
#4
Evangelia Pippa, Evangelia I Zacharaki, Michael Koutroumanidis, Vasileios Megalooikonomou
BACKGROUND: Spatiotemporal analysis of electroencephalography is commonly used for classification of events since it allows capturing dependencies across channels. The significant increase of feature vector dimensionality however introduce noise and thus it does not allow the classification models to be trained using a limited number of samples usually available in clinical studies. NEW METHOD: Thus, we investigate the classification of epileptic and non-epileptic events based on temporal and spectral analysis through the application of three different fusion schemes for the combination of information across channels...
November 11, 2016: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/27818368/psychogenic-non-epileptic-seizures
#5
Robert C Doss, W Curt LaFrance
Psychogenic non-epileptic seizures (PNES) are diagnosed in at least 10-40% of the patients seen for long-term monitoring of epilepsy, and it is no surprise that patients with PNES are often treated for epilepsy. Given the substantial economic costs and mental health burden of misdiagnosis, it is imperative to establish early identification, correct diagnosis, and effective treatment of PNES in order to provide the greatest opportunity for remission of events, improved psychological functioning, and social-vocational outcome...
November 4, 2016: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/27733231/a-woman-with-psychogenic-non-epileptic-seizures-and-pelvic-mass
#6
Teng-da Xu, Sheng-Yong Xu, Jia-Yuan Dai
No abstract text is available yet for this article.
September 20, 2016: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
https://www.readbyqxmd.com/read/27608436/reasons-for-prolonged-length-of-stay-in-the-epilepsy-monitoring-unit
#7
Brian D Moseley, Sandra Dewar, Zulfi Haneef, Dawn Eliashiv, John M Stern
Epilepsy monitoring unit (EMU) admissions are essential for the classification/localization of epileptic seizures (ES) and psychogenic non-epileptic seizures (PNES). However, the duration of admissions is highly variable. Accordingly, we evaluated the duration of 596 EMU admissions and reasons for prolonged (>7 days) lengths of stay (LOS). The average LOS was longer for patients diagnosed with ES (8.0 days, SD 4.1 days) than all others (6.0 days, SD 3.9 days, p<0.001). Of the 596 admissions, 231 (38.8%) had prolonged LOS...
September 1, 2016: Epilepsy Research
https://www.readbyqxmd.com/read/27591057/optimal-time-of-duration-of-a-long-term-video-eeg-monitoring-in-paroxysmal-events-a-retrospective-analysis-of-282-sessions-in-202-patients
#8
Marlena Hupalo, Janusz W Smigielski, Dariusz J Jaskolski
PURPOSE: To find the optimal duration of the long-term video-EEG (LTM) and assess diagnostics utility of LTM in patients with epilepsy and other paroxysmal events in terms of future diagnosis and management. METHODS: Retrospective analysis of 282 LTMs performed in the last 5 years in our Epilepsy Monitoring Unit (EMU), in 202 consecutive patients. The analysis included demographic data, monitoring time, number and type of paroxysmal events, the time until their onset, influence of LTM result on the diagnosis and future management...
2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27538601/psychogenic-non-epileptic-seizures-and-functional-motor-symptoms-a-common-phenomenology
#9
Benedetta Demartini, Diana Goeta, Valentina Barbieri, Lucia Ricciardi, Maria Paola Canevini, Katherine Turner, Armando D'Agostino, Luigi Romito, Orsola Gambini
OBJECTIVE: Recent studies have attempted to compare patients affected by psychogenic non-epileptic seizures (PNES) to patients affected by functional motor symptoms (FMS) from a demographic, clinical and psychological perspective. Nevertheless, results are quite controversial and significant conclusions have not been drawn. The aim of our study was to evaluate the phenomenology of psychology of the two groups assessing levels of dissociation and its subcomponents, alexithymia and interoceptive sensitivity in patients with PNES and in patients with FMS...
September 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27506513/challenges-in-the-first-seizure-clinic-for-adult-patients-with-epilepsy
#10
Anvesh Jackson, Louise Teo, Udaya Seneviratne
AIMS: (1) To delineate the challenges in seizure diagnosis in the first seizure clinic setting for adult patients of a teaching hospital, and (2) quantify the diagnostic accuracy of the referral source and the yield of routine investigations, including blood tests, EEGs, and neuroimaging. METHODS: We retrospectively reviewed medical records of patients referred by the emergency department to the adult first seizure clinic and seen by the same epilepsy specialist between June 2007 and June 2011...
September 1, 2016: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/27472550/4h-versus-1h-nap-video-eeg-monitoring-in-an-epileptology-unit
#11
Vi-Huong Nguyen-Michel, Vera Dinkelacker, Ovidio Solano, Pierre-P Levy, Virginie Lambrecq, Claude Adam, Sophie Dupont, Lionel Naccache, Emmanuel Fournier, Michel Baulac, Vincent Navarro
OBJECTIVE: To compare the performance of 4h-video EEG monitoring (VEEG) and 1h-nap-VEEG in an Epileptology Unit. METHODS: We examined short-term VEEG data from 196 patients admitted to characterize their: (i) clinical events; (ii) epileptic syndromes or (iii) state after status epilepticus or surgery. We compared the 4h-VEEG and 1h-nap-VEEG performances using three measures: (i) the capability to detect epileptic seizures (ES), psychogenic non-epileptic seizures (PNES), interictal epileptiform abnormalities (IEA) and sleep-related IEA; (ii) the usefulness to answer questions on referral; (iii) the sensitivity for the final diagnosis...
September 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27443647/driving-and-epilepsy-a-review-of-important-issues
#12
REVIEW
Joon Y Kang, Scott Mintzer
Driving restrictions in people with epilepsy (PWE) is a highly contentious topic. The fundamental difficulty lies in achieving a balance between safety and practicality. The aim of this review is to provide an overview, history, and rationale behind current laws regarding driving restriction in PWE. We also discuss recent findings that may be helpful to practitioners during individual discussions with PWE including seizure recurrence risk after first seizure, recurrent seizure, and anticonvulsant with drawl and driving restrictions in patients with psychogenic non-epileptic seizures (PNES)...
September 2016: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/27398686/diagnostic-delay-in-psychogenic-seizures-and-the-association-with-anti-seizure-medication-trials
#13
Wesley T Kerr, Emily A Janio, Justine M Le, Jessica M Hori, Akash B Patel, Norma L Gallardo, Janar Bauirjan, Andrea M Chau, Shannon R D'Ambrosio, Andrew Y Cho, Jerome Engel, Mark S Cohen, John M Stern
PURPOSE: The average delay from first seizure to diagnosis of psychogenic non-epileptic seizures (PNES) is over 7 years. The reason for this delay is not well understood. We hypothesized that a perceived decrease in seizure frequency after starting an anti-seizure medication (ASM) may contribute to longer delays, but the frequency of such a response has not been well established. METHODS: Time from onset to diagnosis, medication history and associated seizure frequency was acquired from the medical records of 297 consecutive patients with PNES diagnosed using video-electroencephalographic monitoring...
August 2016: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/27394057/psychogenic-non-epileptic-seizures-pnes-on-the-internet-online-representation-of-the-disorder-and-frequency-of-search-terms
#14
Lorna Myers, Jace Jones, Nadine Boesten, Marcelo Lancman
PURPOSE: The nature of the symptoms associated with PNES require a multidisciplinary health team. There are too few professionals with an adequate understanding of PNES and therefore many are not able to provide patients with necessary information. In the age of the internet, it is not surprising that patients or caregivers might look for answers online. The purpose of this project was to investigate the online representation of PNES and search frequency for PNES and its associated terms...
August 2016: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/27367837/lactate-as-a-diagnostic-marker-in-transient-loss-of-consciousness
#15
O Matz, C Zdebik, S Zechbauer, L Bündgens, J Litmathe, K Willmes, J B Schulz, M Dafotakis
PURPOSE: The diagnostic classification of disorders of consciousness is often challenging, particularly the distinction between epileptic and non-epileptic seizures. The aim of the study was to examine serum lactate as a diagnostic marker of transient loss of consciousness. METHOD: Serum lactate levels in blood samples drawn within 2h of the event were compared retrospectively between patients with generalized tonic-clonic seizures (n=195) and patients with other seizures (syncopes [n=52], psychogenic non-epileptic seizures [n=17], and complex focal seizures [n=37]), respectively...
August 2016: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/27343796/psychogenic-non-epileptic-seizures-in-the-post-anesthesia-recovery-unit
#16
Juan A Ramos, Sorin J Brull
INTRODUCTION: Psychogenic non-epileptic seizures (PNES or "pseudoseizures") remain an obscure topic in the peri-operative setting. They are sudden and time-limited motor and cognitive disturbances, which mimic epileptic seizures, but are psychogenically mediated. Pseudoseizures occur more frequently than epilepsy in the peri-operative setting. Early diagnosis and management may prevent iatrogenic injury. CASE: 48 year-old female with a history of depression and "seizures" presented for gynecologic surgery...
July 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27340856/towards-an-integrative-theory-of-psychogenic-non-epileptic-seizures-pnes
#17
REVIEW
Richard J Brown, Markus Reuber
No abstract text is available yet for this article.
July 2016: Clinical Psychology Review
https://www.readbyqxmd.com/read/27330140/psychogenic-non-epileptic-seizures-in-early-huntington-s-disease
#18
Filipe Brogueira Rodrigues, Edward J Wild
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...
June 21, 2016: Practical Neurology
https://www.readbyqxmd.com/read/27240050/-psychogenic-non-epileptic-seizures-issues-of-comorbidity-in-the-diagnosis-and-treatment
#19
E L Nikolaev, T Serli, G Rezvyi
The paper presents a case report of seizures in a man of 40 years who was assessed by neurologists and psychiatrists for 15 years. Due to the low efficacy of treatment and permanent health deterioration, the patient was recognized as disabled. Later initial diagnosis of psychogenic non-epileptic seizures was completed by comorbid diagnosis of bipolar affective disorder, type II. Treatment with lamotrigine improved the patient's condition. It has been regarded as a positive effect on organic changes in the brain that are associated with affective and epileptic disorders...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/27238051/fibromyalgia-and-seizures
#20
William O Tatum, Michael E Langston, Emily K Acton
The purpose of this case-matched study was to determine how frequently fibromyalgia is associated with different paroxysmal neurological disorders and explore the utility of fibromyalgia as a predictor for the diagnosis of psychogenic non-epileptic seizures. The billing diagnosis codes of 1,730 new, non-selected patient encounters were reviewed over a three-year period for an epileptologist in a neurology clinic to identify all patients with historical diagnoses of fibromyalgia. The frequency with which epileptic seizures, psychogenic non-epileptic seizures, and physiological non-epileptic events were comorbid with fibromyalgia was assessed...
June 1, 2016: Epileptic Disorders: International Epilepsy Journal with Videotape
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