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Psychogenic non-epileptic seizures (PNES)
被引:29
|作者:
Hingray, C.
[1
]
Biberon, J.
[2
]
El-Hage, W.
[3
,4
]
de Toffol, B.
[2
,3
]
机构:
[1] CHRU Nancy, Serv Neurol, 29 Ave Marechal de Lattre de Tassigny, F-54000 Nancy, France
[2] CHU Bretonneau, Serv Neurol & Neurophysiol Clin, 2 Blvd Tonnelle, F-37044 Tours, France
[3] INSERM, U930, 10 Blvd Tonnelle, F-37000 Tours, France
[4] Clin Psychiat Univ, Rue Coq, F-37540 St Cyr Sur Loire, France
关键词:
Psychogenic non epileptic seizures;
Epilepsy;
Dissociative seizures;
Psychic trauma;
RANDOMIZED CONTROLLED-TRIAL;
VIDEO-EEG-ANALYSIS;
PSYCHOEDUCATIONAL INTERVENTION;
PSYCHIATRIC COMORBIDITY;
ATTACK DISORDER;
DIAGNOSIS;
PSEUDOSEIZURES;
INDUCTION;
CLASSIFICATION;
CONSCIOUSNESS;
D O I:
10.1016/j.neurol.2015.12.011
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Psychogenic non-epileptic seizures (PNES) are defined as change in behavior or consciousness resembling epileptic seizures but which have a psychological origin. PNES are categorized as a manifestation of dissociative or somatoform (conversion) disorders. Video-EEG recording of an event is the gold standard for diagnosis. PNES represent a symptom, not the underlying disease and the mechanism of dissociation is pivotal in the pathophysiology. Predisposing, precipitating and perpetuating factors should be carefully assessed on a case by by-case basis. The process of communicating the diagnosis using a multidisciplinary approach is an important and effective therapeutic step. (C) 2016 Elsevier Masson SAS. All rights reserved.
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页码:263 / 269
页数:7
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