A comparative study to investigate the level of cognitive impairment among epileptic and psychogenic non-epileptic patients

Kausar, Noreena; Qurban, Hafsa; Bibi, Bushra

doi:10.47391/jpma.283

Cited by 3 publications

(2 citation statements)

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“…The studies conducted in Indonesia about cognitive impairment among patients with epilepsy indicate the prevalence of cognitive impairment varies from 17.6% to 83.9% (Lestari et al, 2020; Zhu et al, 2022). A comparative study in Pakistan indicates that Epileptic patients have more cognitive impairment than psychogenic non-epileptic patients (Kausar et al, 2021). A similar study in Pakistan also indicated that 39.5% of patients with epilepsy had experienced cognitive impairment secondary to epilepsy (Malik et al, 2019).…”

Section: Literature Reviewmentioning

confidence: 99%

Magnitude of Cognitive Impairment Among Patients With Epilepsy at Health Institutions in Gurage Zone, Ethiopia

et al. 2023

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Introduction Epilepsy is a widespread neurological disorder characterized by recurrent unprovoked seizures; it contributes to 1% of the global burden of diseases and can end in cognitive impairment. Objective To assess the magnitude and associated factors of cognitive impairment among patients with epilepsy. Method The study utilized an institution-based cross-sectional study design. All patients with epilepsy whose ages were above 18 years were the source population. The authors performed bivariate and multivariate logistic regression analyses. Finally, variables with a p-value <.05 were significantly associated. Result The magnitude of cognitive impairment is 25.6%. Having no family history of epilepsy (AOR=0.12; 95% CI [0.02, 0.61]), polytherapy (AOR=5.14; 95% CI [1.12, 23.62]), and medication-related complaints (AOR=8.24; 95% CI [1.87, 36.38]) were strongly associated with cognitive impairment. Conclusion Significant numbers of patients were positive for cognitive impairment. Family history, polytherapy, and medication-related complaints were associated factors.

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Section: Literature Reviewmentioning

confidence: 99%

Magnitude of Cognitive Impairment Among Patients With Epilepsy at Health Institutions in Gurage Zone, Ethiopia

et al. 2023

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“…Mood and objective cognitive function are both important contributors to subjective cognitive function [45] . While people with FS may complaint from impaired cognition (more than that by healthy controls), their cognitive impairment is usually not as bad as that in patients with epilepsy [46] , [47] , [48] . Nonetheless, cognitive impairment in patients with FS have potentially important clinical implications [49] .…”

Section: Impaired Cognitionmentioning

confidence: 99%

Functional seizures are not less important than epilepsy

Asadi‐Pooya

Brigo

Tolchin³

et al. 2021

Epilepsy & Behavior Reports

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Neuropsychological performance and effort in patients diagnosed with psychogenic nonepileptic seizures – Descriptive study of a Czech sample

Krámská

Myers

Hrešková

et al. 2022

Epilepsy & Behavior

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The aim of the study was to examine the neuropsychological performance and effort in patients with a confirmed PNES diagnosis. The second aim of the study was to investigate the relationship between validity indicators from the cognitive battery with validity and clinical scales from a personality scale. Method: Patients with PNES (N = 250; F:M 186:64; mean age 38.32 (13.23)) were assessed utilizing the RBANS (Czech Research version) to evaluate cognitive performance and to obtain the Effort Index. The MMPI-2 was used to evaluate personality and psychopathology. Results: Global cognitive performance was 0.92 SD below average (according to the Gaussian distribution) in patients with PNES. The lowest scores in the sample were in the Attention domain (À1.7SD). Insufficient effort was detected in 10% of patients. Education correlated negatively with the Effort index (rs = À0.25, p = 0.01). A mild significant correlation in Scale 7 (rs = 0.21, p = 0.01) and Scale 8 (rs = 0.24, p = 0.01), and a significant correlation between Effort Index and Back F Scale (rs = 0.23, p = 0.01) were noted. Conclusions: Assessment of cognitive performance and effort is an essential part of the comprehensive evaluation of patients with PNES during their hospitalization at Epilepsy centers. Many aspects of the neuropsychological assessment can offer useful indications for reaching a differential diagnosis, including clinical history, behavioral observations, cognitive and symptom validity testing, and structured psychological inventories.

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A comparative study to investigate the level of cognitive impairment among epileptic and psychogenic non-epileptic patients

Cited by 3 publications

References 0 publications

Magnitude of Cognitive Impairment Among Patients With Epilepsy at Health Institutions in Gurage Zone, Ethiopia

Magnitude of Cognitive Impairment Among Patients With Epilepsy at Health Institutions in Gurage Zone, Ethiopia

Functional seizures are not less important than epilepsy

Neuropsychological performance and effort in patients diagnosed with psychogenic nonepileptic seizures – Descriptive study of a Czech sample

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