Forgotten motor semiology: Psychogenic non-epileptic seizure

被引:0
|
作者
Yrondi, Antoine [1 ,2 ]
Hingray, Coraline [3 ,4 ]
Micoulaud-Franchi, Jean Arthur [5 ]
de Toffol, Bertrand [6 ,7 ]
机构
[1] CHU Toulouse Purpan, Serv Psychiat & Psychol Med, 330 Ave Grande Bretagne, F-31059 Toulouse, France
[2] INSERM, UMR 1214, Toulouse NeuroImaging Ctr TONIC, F-31059 Toulouse, France
[3] CPN, F-54521 Laxou, France
[4] CHRU Nancy, Serv Neurol, 29 Ave Marechal de Lattre de Tassigny, F-54000 Nancy, France
[5] CHU Bordeaux, Clin Sommeil, Serv Explorat Fonct Syst Nerveux, Pl Amelie Raba Leon, F-33076 Bordeaux, France
[6] Univ Bordeaux, CNRS, USR 3413, SANPSY,CHU Pellegrin, F-33076 Bordeaux, France
[7] CHU Tours, INSERM, U930, Serv Neurol & Neurophysiol Clin, F-37044 Tours, France
来源
ANNALES MEDICO-PSYCHOLOGIQUES | 2017年 / 175卷 / 05期
关键词
Diagnosis; Psychogenic Non epileptic seizure; Risk factors; Semiology; QUALITY-OF-LIFE; DIAGNOSIS; EPILEPSY; PSEUDOSEIZURES; ALEXITHYMIA; DISORDER; SYMPTOMS; PATIENT; TRAUMA; PNES;
D O I
10.1016/j.amp.2017.03.009
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Psychogenic Non Epileptic Seizure (PNES) are defined as paroxysmal and transient behavioral manifestations, suggestive of epileptic seizures, but without the concomitant electro physiological activity linked to an epileptic seizure. There is a net female predominance (75 %). The beginning of illness is typically in the second or third decade. About 80 % patients have antecedents of traumatisms. The understanding of PNES requires the analysis of three types of factors (3P): predisposing, precipitating, and perpetuating factors. These factors all are not always found. There would be a correlation between the dysfunction of some cerebral networks and the dissociation for patients suffering from PNES. There would be a complex emotional dysfunction for some patients suffering from PNES. The semiological analysis in video-EEG allows to identify characteristic associations of signs during seizure allowing to differentiate five clinical subcategories which linked to the semiological analysis of 3 P allow to diagnose PNES. The diagnostic announcement of PNES is a delicate stage, but important to start a first therapeutic stage: it conditions the forecast of the patients suffering from PNES. The diagnostic announcement and the taking care require a close collaboration between neurologists and psychiatrists. (C) 2017 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:492 / 497
页数:6
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