The diagnostic and prognostic value of induction methods in patients with psychogenic nonepileptic seizures

Genç, Fatma; Yılmaz, Nusret; Gömceli, Yasemin Bıçer; Ozen, Kerim Hakan; Kurtuluş, Fatma; Yaman, Aylın; Temir, Mehmet Ertan

doi:10.5505/epilepsi.2013.30306

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…For one study, depression prevalence for patients with epilepsy was 23.1%, anxiety 22.8%, interictal psychosis 5.2-7%, personality disorders 4-38%, and suicide 5-14.3% 19 . By another study, comorbid associations between epilepsy and anxiety, depression, bipolar disorder, carelessness, and hyperactivity syndrome were reported 20 . Common mechanisms can play a role in epilepsy and comorbid conditions.…”

Section: Discussionmentioning

confidence: 98%

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The Frequency of Non-Epileptic Seizures in Epileptic Patients, the Relationship with Anxiety and Depression

Gözübatık-Celik¹,

Nalbantoğlu²,

Köseoğlu³

2020

Dicle Tıp Dergisi

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In this study, psychogenic-nonepileptic seizure (PNES) frequency was investigated in epileptic patients; we explored the association between the disease duration, population / clinical data and the prevalence of depression fear. Method:The study included 108 patients with definitive epilepsy. Video EEG and medical records were treated for PNES in patients. Demographic features, duration of illness, seizure frequency, type of seizures, all treatments have been documented. All patients earned the Beck Depression and Anxiety Scale. Patients were divided into two groups along with epileptic (Group1) and PNES (Group2). Patients were divided into two groups. Results:The mean age of the patients was 48 ± 12.31years. Fifty-six of all patients (51.8%) were female. Psychiatricnonepileptic-seizures had been shown in 41(37.9%) of 108 epileptic patients.25 of 41 patients (60.9%) were female. Of the 41 patients with non-epileptic seizures, 23(56%) were observed to have epileptic seizures under control. Depression and anxiety scores were significantly higher in Group 2 compared to Group 1 (p≤0.005). Conclusion:In patients with long-term and depressed/anxiety symptoms, PNES should be challenged, particularly in the presence of various forms of seizures treatment resistance, even under control.

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Section: Discussionmentioning

confidence: 98%

“…In the Baburhan et al video EEG monitoring analysis for seizure diagnosis, 31 out of 89 patients had nonepileptic psychogenic seizures. A research of patients of refractory epilepsy found 12.5% of PNES incidence 20 . In the literature, the prevalence of misdiagnosisrelated use of antiepileptic drugs (AED) is 25 percent 5 .…”

Section: Discussionmentioning

confidence: 99%

The Frequency of Non-Epileptic Seizures in Epileptic Patients, the Relationship with Anxiety and Depression

Gözübatık-Celik¹,

Nalbantoğlu²,

Köseoğlu³

2020

Dicle Tıp Dergisi

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“…[11] Hastada nöbet boyunca farkındalığın korunması, gözlerin kapalı olması (özellikle sıkma şeklinde) veya kırpıştırma hareketi izlenmesi, nöbetin ağlama atakları ile başlaması veya sonlanması, başın iki yana hareketi, debelenme, yuvarlanma, pelvik itme hareketi (pelvik thrusting), opistotonik postür gibi atipik klinik özellikler içermesi NEPN lehine değerlendirilebilecek bulgulardır. [8,12,13] Bizim de 32 hastamız (%45.7) öykü ve klinik bulgular ile NEPN tanısı almıştı. Tanı, epilepsi konusunda deneyimli uzmanlarca öyküde tanımlanan detaylar eşliğinde ya atak amatör kamera kayıtlarından izlenerek ya da poliklinik muayenesi esnasında/sıra beklerken izlenerek konmuştu.…”

Section: Discussionunclassified

Diagnostic Challenges in Psychogenic Non-Epileptic Seizures

Kucukseymen¹,

Erdal²,

Genç³

et al. 2016

Epilepsi

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Objectives: Psychogenic nonepileptic seizures (PNES) resemble epileptic seizures. Accurate diagnosis of PNES can be challenging, and misdiagnosis and treatment confusion is common. This article is a review of patients with PNES who were initially diagnosed with epilepsy.Methods: Records of 1140 patients referred to the epilepsy center at Antalya Education and Research Hospital with diagnosis of epilepsy were retrospectively reviewed. Demographic characteristics, risk factors, and diagnostic methods were analyzed.Results: A total of 70 patients, 54 (77.1%) female and 16 (22.9%) male patients, were diagnosed with PNES. In 24 patients (34.3%), PNES alone was diagnosed, 46 patients (65.7%) had epilepsy and PNES. In the strictly PNES patients, there were abnormal electroencephalogram (EEG) findings in 10 (41.6%) patients, nonspecific changes in cranial magnetic resonance imaging (MRI) of 5 (20.8%), risk factors were found in 6 (25%), and 7 (29.2%) patients had family history of seizures. Conclusion:It is important to keep PNES in mind if epilepsy is suspected when evaluating patients with risk factors or EEG or MRI abnormalities in order to avoid misdiagnosis. History of seizures, semiological features and objective data should all be carefully evaluated to determine appropriate treatment plan.

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“…Psikojen nöbet-lerin telkinle kolayca ortaya çıkması, uygun ortamlarda ve tanık varlığında izlenebilmeleri daha kolaydır. [15] Aynı şey epilepsi hastalarında olmamıştır ve tanıklı izlenen epilepsi nöbeti sadece 16 hastada mümkün olabilmiştir. Hastaların öykü bilgilerine göre nöbet sıklığı açısından konuyu ele aldığımızda, üç hastanın ayda birden daha az sıklıkta nöbet geçirdiği, 23 hastanın ise aydan birden fazla nöbet geçirse de sıklığın haftada birden fazla olmadığı, yani 15 günlük yatışta nöbet gözleme olasılığımızın bu hastalarda düşük olduğu ortaya çıkmaktadır.…”

Section: Discussionunclassified

An approach to epilepsy patients admitted to hospitalization for the purpose of disability determination

Buluş¹

2015

Epilepsi

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SummaryObjectives: In this retrospective study, it was aimed to share the experience gained in Cerrahpaşa Medical Faculty, Department of Neurology regarding a 15 (or 21)-day of observation of epilepsy patients referred by the Social Security Institution (SSI) in an attempt to identify their rate of disability and question the practicality and validity of this practice. Methods: Fifty-eight patients, referred to our clinic and hospitalized for the purpose of determining the disability rate between 2007 and 2014, were retrospectively analyzed. Results: Fifty-eight patients (10 female, 48 male) were included into our study. The number of patients with refractory epilepsy was 18 (33.3%). Twenty-seven cases had witnessed seizures during hospitalization and 11 of these patients were evaluated with psychogenic seizures. We were unable to witness seizures in eight cases. Of the fifty-eight patients, 65.5% of them (n=38) were diagnosed with epilepsy, 20.6% of them (n=12) were psychogenic non-epileptic seizures (PNES) and epilepsy association, 13.7% (n=8) of them were PNES with history, clinical, imaging and interictal EEG assessment. Eighteen of the patients (33.3%) who were known as mentally retarded acquired the right to disability. Eighteen of the 36 patients (33.3% of whose mental state was known) who were known not to be mentally retarded obtained the right to pension because they were diagnosed with drug-resistant epilepsy and were using adequate and regular AEDs. Conclusion: Most of the patients referred for hospitalization for the purpose of determining the disability may be given the disability report only with a good history and short-term video EEG monitoring, without hospitalization. In our opinion, this type of practice might be a more economical, practical and valid behavior in terms of time and place. Key words: Epilepsy; disability. ÖzetAmaç: Bu geriye dönük çalışmada, Sosyal Güvenlik Kurumu (SGK) tarafından, kliniğimize sevk edilen epilepsi hastalarının, özürlülük oranlarının saptanması amacıyla en az 15 (ya da 21) gün yatırılarak gözlenmesi ile ilgili Cerrahpaşa Tıp Fakültesi Nöroloji Kliniği'ndeki deneyimi paylaşmak, bu uygulamanın pratikliğini ve geçerliliğini sorgulamayı amaçladık. Gereç ve Yöntem:Çalışmada 2007-2014 yılları arasında İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Nöroloji Kliniği'ne SGK tarafından maluliyet durumunun belirlenmesi amacıyla yatırılmak üzere sevk edilen ve servisimizde yatırılarak izlenen 58 hastanın kayıtları geriye dönük olarak araştırılmıştır. Bulgular: Çalışmaya 58 hasta (10 kadın, 48 erkek) alındı. Dirençli epilepsisi olan hasta sayısı 18 (%33.3) idi. Yatış sırasında 27 olgu tanıklı nöbet geçirdi. Bu hastalardan 11 'inin nöbeti psikojen olarak değerlendirildi. Sekiz olgunun nöbetine tanık olunamadı. Öykü, klinik, görüntüleme ve interiktal EEG değerlendirmeleri ile birlikte hastaların %65.5'i (n=38) epilepsi, %20.6'sı (n=12) nonepileptik psikojen nöbet (NEPN) ve epilepsi birlikteliği, %13.7'si (n=8) ise NEPN tanılarını aldı. Mental retarde olduğu bilinen 18 (%33.3)...

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The diagnostic and prognostic value of induction methods in patients with psychogenic nonepileptic seizures

Cited by 4 publications

References 22 publications

The Frequency of Non-Epileptic Seizures in Epileptic Patients, the Relationship with Anxiety and Depression

The Frequency of Non-Epileptic Seizures in Epileptic Patients, the Relationship with Anxiety and Depression

Diagnostic Challenges in Psychogenic Non-Epileptic Seizures

An approach to epilepsy patients admitted to hospitalization for the purpose of disability determination

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