The spectrum of psychogenic non-epileptic seizures and comorbidities seen in an epilepsy monitoring unit

被引:34
|
作者
Seneviratne, Udaya [1 ,2 ]
Briggs, Belinda [1 ]
Lowenstern, David [3 ]
D'Souza, Wendyl [1 ,4 ]
机构
[1] Alfred Hosp, Dept Neurosci, Melbourne, Vic, Australia
[2] Monash Med Ctr, Dept Neurosci, Clayton, Vic 3168, Australia
[3] Alfred Hosp, Dept Consultat Liaison Psychiat, Melbourne, Vic, Australia
[4] Univ Melbourne, Dept Med, St Vincents Hosp, Melbourne, Vic, Australia
关键词
Comorbidity; Psychiatric disorders; Psychogenic non-epileptic seizures; VIDEO; DIAGNOSIS; ATTACKS;
D O I
10.1016/j.jocn.2010.07.120
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We sought to study characteristics of patients presenting with psychogenic non-epileptic seizures (PNES), with and without major psychiatric comorbidity. A total of 39 patients who were diagnosed with PNES in a tertiary care setting were studied, and those patients with and without axis I psychiatric disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were compared. The mean time in confirming the diagnosis was 9 years. More than half the patients were taking anti-epileptic medications when they presented for video-electroencephalographic monitoring. The mean monitoring time required to capture a PNES was 0.6 days. Comorbid chronic medical conditions were found in 38.5% and axis I-psychiatric diagnoses in 48.7%. There were no significant differences in characteristics between those with and without major psychiatric comorbidities. Crown Copyright (C) 2010 Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:361 / 363
页数:3
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