Diagnosis, management and prognosis of a group of 128 patients with non-epileptic attack disorder. Part I

Nonepileptic Psychogenic Seizures: Quagmires of Pathophysiology, Diagnosis, and Treatment

“…Members of the health care team who interact with the patient should share information and coordinate therapy. The earlier the disorder is diagnosed and intervention started, the better the chances of successful treatment of conversion NES (6,7,19). Conversion NES usually requires psychiatric or psychological interventions.…”

“…In contrast, many cases in which the psychological cause remains obscure resolve when the diagnosis is presented to the patient. The shorter the duration of symptoms and the briefer the interval between stressor and diagnosis, the better the prognosis (6,7).…”

Methodologic Validity Of Patient’s History In Establishing The Diagnosis Of Epileptic Attacks

“…Provocative tests can be helpful especially for diagnosis of NE (17). In our study in 6 out of 8 cases (75%) diagnosed as NE and underwent saline tests, positive results were detected.…”

“…In accordance with literature, in our cases with epileptic seizures increases in blood prolactin levels were observed. Despite all of these findings differentiation between E and NE can be relatively difficult (1,10,11,17,(20)(21)(22)(23) (4). As supporting all those reports, we found that it was not so easy to diagnose psychogenic seizures and epileptic seizures in Group I.…”

Comparative study of clinical profile and presumptive stressful life events in patients of psychogenic non epileptic seizure and epileptic seizure: a cross sectional study

“…Role of psychologically traumatic events such as accident and sexual abuse has been considered central to the pathogenesis of PNES. [22][23][24][25][26][27] Reuber et al (2008) found a history of severe trauma in 90% of the PNES population studied, of which 41% of the women had suffered trauma from sexual abuse.…”