Nonepileptic attack disorder among married women

Dhanaraj, M; Rangaraj, R; Arulmozhi, T; Vengatesan, A

doi:10.4103/0028-3886.16403

Cited by 10 publications

(5 citation statements)

References 7 publications

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“…[14313241–43] The possible reasons for the delay in diagnosis was lack of awareness both among patients and treating doctor, use of alternative system of medicine, and belief that these events were due to supernatural causes. Shorter duration of video-EEG monitoring and early use of induction protocol, are the reasons for lower rates of spontaneous PNES events (4.76%) in our patients.…”

Section: Discussionmentioning

confidence: 99%

“…The most important prognostic factor probably is the acceptance of the diagnosis of PNES by patients and their family members. The other favorable prognostic factors reported are young age at onset,[3647] male[32] or female,[37] better education,[4755] good social, family, and security support system,[31323437] employment, and independent lifestyle,[343537] low intelligence quotient[3258] shorter duration of condition,[3947] less frequent episodes,[43] accepting the diagnosis,[3134] motionless spells,[394755] lack of comorbid epilepsy,[374759] continued antiepileptic drugs (AEDs) use,[35] lack of physical or sexual abuse,[30] and lack of psychiatric comorbidities. [303247] The possible good prognostic factors in our study were young age at onset ( P = 0.54), shorter duration of illness ( P = 0.44), less frequent episodes ( P = 0.66), and limp attacks ( P = 0.27).…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile of psychogenic non-epileptic seizures in adults: A study of 63 cases

Patidar

Gupta

Khwaja

et al. 2013

Ann Indian Acad Neurol

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Aims:To evaluate clinical profile and short-term outcome of psychogenic non-epileptic seizures (PNES) in Indian adult population.Setting and Design:A prospective observational study, conducted at tertiary teaching institute at New Delhi.Materials and Methods:Sixty-three patients with confirmed PNES were enrolled. The diagnosis was based on witnessing the event during video-electroencephalography (Video-EEG) monitoring. A detailed clinical evaluation was done including evaluation for coexistent anxiety or depressive disorders. Patients were divided into two groups on the basis of excessive or paucity of movements during PNES attacks. Patients were followed-up to 12 months for their PNES frequency.Statistical Analysis:Means and standard deviations were calculated for continuous variables. Chi-square and Students t-test were used to compare categorical and continuous variables respectively.Results:The mean age at onset of PNES was 25.44 years; with F:M ratio of 9.5:1. Coexistent epilepsy was present in 13 (20.63%) cases. Twenty-two patients (44%) with only PNES (n = 50) had received antiepileptic drugs. Out of 63 patients of PNES 24 (38.1%) had predominant motor phenomenon, whereas 39 (61.9%) had limp attacks. The common features observed were pre-ictal headache, ictal eye closure, jaw clenching, resistant behavior, ictal weeping, ictal vocalization, and unresponsiveness during episodes. Comorbid anxiety and depressive disorders was seen in 62.3% and 90.16% patients, respectively. Short-term (6-12 months) outcome of 45 patients was good (seizure freedom in 46.66% and >50% improvement in 24.44% cases).Conclusion:PNES is common, but frequently misdiagnosed and treated as epileptic seizures. A high index of suspicion is required for an early diagnosis. Proper disclosure of diagnosis and management of the psychiatric comorbidities can improve their outcome.Limitation:Limited sample size and change in seizures frequency as the only parameter for the assessment of the outcome are the two major limitations of our study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical profile of psychogenic non-epileptic seizures in adults: A study of 63 cases

Patidar

Gupta

Khwaja

et al. 2013

Ann Indian Acad Neurol

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“…Another study from India had similar findings. [ 19 ] Seventy-one per cent of our patients demonstrated tonic posturing. Patidar et al .…”

Section: Discussionmentioning

confidence: 78%

“…They attributed more of limp attacks due to cultural variation and poor emotional support in their patients as compared to the findings of other Indian researchers. [ 19 20 ] Stiffening of the body with clenching of teeth and verbal unresponsiveness in response to stressors is commonly seen in various Indian cultures and is often accepted. There is also a high portrayal of the same in most Indian films and TV serials where a lot of attention is given to the person.…”

Section: Discussionmentioning

confidence: 99%

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

Sawant

Umate²

2022

Journal of Family Medicine and Primary Care

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A BSTRACT Introduction: Patients with psychogenic nonepileptic seizures (PNES) tend to have more frequent and disabling seizures than those which true epilepsy and are often misdiagnosed as epilepsy due to lack of clear diagnostic criteria and variations in clinical semiology. This study was an attempt to improve the understanding and type of clinical manifestations seen in patients of PNES and the cultural beliefs regarding their symptoms. Materials and Methods: In this cross-sectional observational study, 71 patients diagnosed with PNES by neurologists on the basis of their clinical presentation and a two hours normal VEEG recording were enrolled in the study after ethics approval. The clinical manifestations of PNES were recorded in detail along with details of various cultural attributions of the patients to the symptoms which were recorded in open- and closed-ended questions. Results: Clinical manifestations included verbal unresponsiveness (74%), whole body rigidity (72%), upper limb (55%) and lower limb movements (39%), vocalizations and head movements in less than 25%, and automatisms in only 6 patients. Pelvic thrusting as a manifestation was seen in only one patient. Thirty-eight patients attributed their symptoms to being possessed by God/ghost/evil spirit; nine to black magic being done on them; twenty-four patients did not relate symptoms to religious beliefs. Sixty-two patients had visited faith healers. Conclusions: This study is the first of its kind which looks at various clinical presentations of PNES patients in order to assess if there is any cultural basis for the symptoms.

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“…In Eastern countries, however, research reveals that gender-specific inequalities (Bora et al 2011; Deveci et al 2007), education (Bora et al 2011; Hingray et al 2011), socioeconomic status (Deveci et al 2007), and dysfunctional family structures (Dhanaraj et al 2005) are the sociocultural factors that play the greatest role in the development of PNES. However, research that focuses more specifically on these cultural differences is still needed.…”

Section: Introductionmentioning

confidence: 99%

People with Psychogenic non-epileptic seizures: A South African perspective

Pretorius

Cronje

2015

Afr. j. disabil.

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BackgroundPsychogenic non-epileptic seizures (PNES) is a disabling disorder which has a negative effect on the quality of life of individuals with PNES. A clear understanding of the disorder is necessary, however, to date, research about PNES in South Africa is limited.ObjectivesThe aims of this study were to explore the demographic variables of individuals with PNES in South Africa, to review the available body of research on PNES, and to compare it with our results.MethodTwenty-two people with PNES, with confirmed video EEG, were recruited by means of convenience sampling from two hospitals. Descriptive statistics were used to describe the demographic variables of the participants.ResultsInternationally comparable results revealed misdiagnoses and low treatment delivery amongst a primarily female population.ConclusionThis study provided greater insight into individuals with PNES in South Africa, highlighting the need for more information, support, effective treatment and accurate diagnosis of PNES.

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Nonepileptic attack disorder among married women

Cited by 10 publications

References 7 publications

Clinical profile of psychogenic non-epileptic seizures in adults: A study of 63 cases

Clinical profile of psychogenic non-epileptic seizures in adults: A study of 63 cases

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

People with Psychogenic non-epileptic seizures: A South African perspective

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