Risk factors for psychogenic nonepileptic seizures in children and adolescents with epilepsy

Vincentiis, Silvia; Valente, Kette D.; Thomé‐Souza, Sigride; Kuczinsky, Evelyn; Fiore, Lia Arno; Negrão, Núbio

doi:10.1016/j.yebeh.2005.08.014

Cited by 88 publications

(87 citation statements)

References 11 publications

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“…11 Affective and anxiety disorder as primarily etiologic in children with psychogenic seizures, 1 depression and anxiety disorders predominated as primary psychiatric diagnosis, which may explain the generally more favorable response to psychiatric intervention and treatment in our patient group. The goals of treating NESE -to limit the recidivism, to avoid iatrogenic complications, and to ameliorate underlying psychiatric conditions -are best achieved by aggressive diagnosis, orderly initiation of appropriate therapy, and improvement of familial support mechanisms.…”

Section: Psychiatric Disordersmentioning

confidence: 80%

“…11,13 According to Pakalnis and Paolicchi, 13 11 (69%) of 16 were boys, suggesting that contrary to findings in the adult population, PNES is commonly seen in boys.…”

Section: Gendermentioning

confidence: 88%

“…In Vincentiis's et al series, 11 there was no gender predominance and most patients with psychogenic seizures mimicking epileptic seizures were in the first decade of life and first years of adolescence. However, three of their patients under 6 years of age had true psychogenic seizures.…”

Section: Children With Epilepsy and Psychogenic Nonepileptic Seizuresmentioning

confidence: 89%

“…6 Vincentiis et al 11 studying children and adolescents with epilepsy reported a higher prevalence of approximatedely 30.3%. It corroborates studies in adults that show that PNES are more frequent in people with epilepsy.…”

Section: Prevalencementioning

confidence: 97%

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Psychogenic nonepileptic seizures in children and adolescents with epilepsy

Valente

2007

J. epilepsy clin. neurophysiol.

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Psychogenic nonepileptic seizures (PNES) are defined by episodes of abnormal movement, sensations, or cognitive experiences similar to epileptic seizures. These events, however, are not related to abnormal electrical brain discharges and are thought to be cause by a psychological process. Children appear to carry a lower risk for PNES compared to adults and yet this diagnosis maybe present in up to 10% of the pediatric patients. The main features of PNES in such age group is discussed.Key words: epilepsy, nonepileptic seizures, nonepileptic psychogenic seizures, nonepileptic psychogenic seizures in children. RESUMO Crises não-epilépticas psicogênicas em crianças e adolescentes com epilepsiaCrises não-epilépticas psicogênicas (CNEP) são definidas como episódios de movimentos anormais, sensações ou experiências cognitivas similares a crises epilépticas. Estes eventos, contudo, não são relacionados a descargas elétricas cerebrais anormais e parecem estar associadas a processos de natureza psicológica. CNEP são menos freqüentes em crianças quando comparados a adultos, porém ainda assim este diagnóstico pode ser observado em 10% da população de pacientes pediátricos. As principais características de CNEP nestes grupo etária são discutidas nesta revisão.Unitermos: epilepsia, crises não-epilépticas, crises não-epilépticas psicogênicas, crises não-epilépticas psicogênicas em crianças.

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Section: Psychiatric Disordersmentioning

confidence: 80%

“…11,13 According to Pakalnis and Paolicchi, 13 11 (69%) of 16 were boys, suggesting that contrary to findings in the adult population, PNES is commonly seen in boys.…”

Section: Gendermentioning

confidence: 88%

Section: Children With Epilepsy and Psychogenic Nonepileptic Seizuresmentioning

confidence: 89%

Section: Prevalencementioning

confidence: 97%

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Psychogenic nonepileptic seizures in children and adolescents with epilepsy

Valente

2007

J. epilepsy clin. neurophysiol.

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“…Algunos factores de riesgo para el desarrollo de un TS son somatización parental, enfermedad orgánica y/o mental de un otro significativo, ambiente familiar disfuncional, experiencias traumá-ticas infantiles y apego inseguro 27 ; particularmente, el dolor abdominal funcional se asocia a síntomas internalizantes, pobre bienestar familiar, eventos familiares no normativos y estresores diarios 28 como pobres relaciones interpersonales, problemas comunicacionales intrafamiliares y conflictos con los padres en el caso de las niñas 5 , observándose por ejemplo más CPNE en niños con ambientes familiares inadecuados que en aquéllos abusados física y/o sexualmente 29 . Jellesma et al 30 comprobaron que la preocupación parental no se relacionaba con mayor freESTAdO ACTUAL dE LOS TRASTORNOS SOmATOmORFOS y CONVERSIVOS EN NIñOS y AdOLESCENTES cuencia de síntomas somáticos infantiles.…”

Section: Familiaunclassified

Estado actual de los trastornos somatomorfos y conversivos en niños y adolescentes

Martínez-Aguayo

et al. 2016

Rev. chil. neuro-psiquiatr.

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Psychogenic nonepileptic seizures in pediatric population: A review

et al. 2019

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IntroductionPsychogenic nonepileptic seizures (PNES) are observable abrupt paroxysmal changes in behavior or consciousness that resemble epileptic seizures, but without concurrent electroencephalographic abnormalities.MethodsIn this manuscript, we reviewed literature concerning pediatric PNES and focused on those articles published in the last 10 years, in order to try to understand what the state of the art is at the moment, particularly as regards relationship and differential diagnosis with epilepsy.ResultsPsychogenic nonepileptic seizures have been extensively described in literature mainly in adults and less frequently in children. Despite the potential negative impact of a misdiagnosis (unnecessary investigations and antiepileptic drugs, structured pathological behavioral patterns), in literature there is little information regarding the real prevalence, clinical features, treatment, and outcome of PNES in children and adolescents.ConclusionPsychogenic nonepileptic seizures are common but frequently missed entity in pediatric population. Diagnosis could be difficult, especially in those children who have both epileptic and nonepileptic seizures; video EEG and home video can help clinicians in diagnosis. More studies are needed to better classify PNES in children and facilitate diagnosis and treatment.

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Risk factors for psychogenic nonepileptic seizures in children and adolescents with epilepsy

Cited by 88 publications

References 11 publications

Psychogenic nonepileptic seizures in children and adolescents with epilepsy

Psychogenic nonepileptic seizures in children and adolescents with epilepsy

Estado actual de los trastornos somatomorfos y conversivos en niños y adolescentes

Psychogenic nonepileptic seizures in pediatric population: A review

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