Clinical manifestations and cultural correlates of psychogenic nonepileptic seizure symptoms: An Indian perspective

Sawant, NeenaS; Umate, MaithiliS

doi:10.4103/jfmpc.jfmpc_775_22

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…According to reports, people with diabetes have an epilepsy prevalence between 1.5 and 2 times higher than those without the disease [9,10]. Genetics, inflammation, and metabolic dysfunction are only a few common risk factors linked to this connection [11,12]. This comorbidity is significantly influenced by age.…”

Section: Prevalence Of Epilepsy In Individuals With Diabetesmentioning

confidence: 99%

Seizing the Connection: Exploring the Interplay Between Epilepsy and Glycemic Control in Diabetes Management

Nadeem,

Memon,

Qureshi

et al. 2023

Cureus

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Epilepsy, a neurological disorder characterized by recurrent seizures, and diabetes, a metabolic disorder characterized by impaired regulation of glucose levels, are two distinct conditions that may appear unrelated at first glance. Nevertheless, recent scholarly investigations have revealed these entities' intricate and everevolving interplay. This review initially delves into the intricate interplay between epilepsy and its potential ramifications on glycemic control. Seizures, particularly those accompanied by convulsive manifestations, have the potential to induce acute perturbations in blood glucose levels via diverse mechanisms, encompassing the liberation of stress hormones, the emergence of insulin resistance, and the dysregulation of the autonomic nervous system. Comprehending these intricate mechanisms is paramount in customizing productive strategies for managing diabetes in individuals with epilepsy. On the contrary, it is worth noting that diabetes can substantially impact the trajectory and control of epilepsy. The correlation between hyperglycemia and an elevated susceptibility to seizures, as well as the potential for exacerbating the intensity of epilepsy, has been established. This narrative review offers a concise exposition of the intricate interplay between epilepsy and glycemic control within diabetes management. The objective of exploring reciprocal influences, underlying mechanisms, and common risk factors is to augment the clinical comprehension of this intricate interconnection. In essence, this acquired knowledge possesses the potential to serve as a guiding compass for healthcare professionals, enabling them to craft bespoke therapeutic approaches that enhance the holistic welfare of individuals grappling with the coexistence of epilepsy and diabetes.

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Section: Prevalence Of Epilepsy In Individuals With Diabetesmentioning

confidence: 99%

Seizing the Connection: Exploring the Interplay Between Epilepsy and Glycemic Control in Diabetes Management

Nadeem,

Memon,

Qureshi

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Convulsions, paralysis, and altered states of consciousness were often seen as evidence of possession by spirits, curses, malevolent sorcery, or divine intervention [11]. In Saudi Arabia and the Middle East (as in many other world regions), some of these erroneous and supernatural perceptions of FND persist until today [12][13][14]. In the 19th century, Charcot's work advanced the conceptualization that FND is a brain and mind disorder, emphasizing the role of stress, emotional dysregulation, and psychopathology.…”

Section: Review History Of Fnd: From the Antiquities To The Diagnosti...mentioning

confidence: 99%

Functional Neurological Disorder in Saudi Arabia: An Update

Tayeb

2023

Cureus

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Functional neurological disorder (FND) is characterized by neurological symptoms that lack congruence with traditional neurological diagnoses. Historically viewed through a Freudian psychoanalytic lens, FND has been conceptualized as a purely psychogenic disorder. However, the contemporary biopsychosocial perspective on FND emphasizes contributions of cognitive and neural circuit dysfunction and the disabling and involuntary nature of the illness. In Saudi Arabia, evidence suggests the prevalence of FND is significant. However, clinical programs and research focused on FND have been lacking. Studies from the region indicate that practitioners may have outdated views of FND. To address this, this narrative review provides an updated perspective on FND that is relevant to Saudi Arabia and the region. It delves into the evolving perception of FND, its underlying pathophysiology, risk factors, clinical presentations, and recent diagnostic and management advances. Unique features of FND in Saudi Arabia may include a significant role for family disputes as a risk factor, prevalent supernatural perceptions of FND, high prevalence of somatization, and cognitive dysfunction, and a potential favorable prognosis. The article concludes by providing the following recommendations related to FND in Saudi Arabia and the region: i) building educational programs to update clinicians about contemporary biopsychosocial perspectives on FND; ii) emphasizing a positive diagnostic approach based on clinical findings in FND; iii) instituting multidisciplinary programs to care for FND patients; iv) supporting systematic research efforts to explore culture-specific FND risk factors, patient outcome measures, and attitudes toward the disorder; v) developing national FND clinical practice guidelines; and vi) launching awareness campaigns to reduce FND stigma.

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Psychogenic non-epileptic seizure-an entity on the borderzones of neurology, psychiatry and clinical psychology: a case report with review of literature

K Sethi,

Sethi,

Rawat

et al. 2024

MOJSM

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Psychogenic Non-Epileptic Seizures (PNES) are a commonly encountered neurological entity, often misdiagnosed due to their resemblance to epileptic seizures. PNES episodes mimic epileptic seizures but stem from psychological factors, making accurate diagnosis essential for effective treatment. They are now included under the umbrella of Functional Neurological Disorders (FND). We report a case of PNES and review the medical literature with respect to the incidence and prevalence of this entity in the Indian population. Our case report highlights the complexities of PNES diagnosis- a disorder on the "border zone" between neurology, psychiatry, and psychology. A multidisciplinary approach involving neurologists, psychiatrists, and psychologists is crucial for effective PNES management in India, overcoming the stigma associated with this condition and improving patient outcomes.

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Clinical manifestations and cultural correlates of psychogenic nonepileptic seizure symptoms: An Indian perspective

Cited by 3 publications

References 24 publications

Seizing the Connection: Exploring the Interplay Between Epilepsy and Glycemic Control in Diabetes Management

Seizing the Connection: Exploring the Interplay Between Epilepsy and Glycemic Control in Diabetes Management

Functional Neurological Disorder in Saudi Arabia: An Update

Psychogenic non-epileptic seizure-an entity on the borderzones of neurology, psychiatry and clinical psychology: a case report with review of literature

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