Clinical profile of patients with epileptic and nonepileptic seizures

被引：98

作者：

Devinsky, O ^{[1
]}

SanchezVillasenor, F ^{[1
]}

Vazquez, B ^{[1
]}

Kothari, M ^{[1
]}

Alper, K ^{[1
]}

Luciano, D ^{[1
]}

机构：

[1] NYU,SCH MED,DEPT NEUROL,NEW YORK,NY

来源：

NEUROLOGY | 1996年 / 46卷 / 06期

关键词：

D O I：

10.1212/WNL.46.6.1530

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Epileptic seizures (ES) and nonepileptic seizures (NES) often coexist in patients with treatment-refractory seizures. There are few data on ictal features of these different seizure types is the same patient. We identified 20 patients with ES front a group of 99 NES patients (ES/NES) and compared this group with patients with only ES or NES. All 20 ES/NES patients developed NES after ES. Clinical features of NES clearly differed from EX in 18 of 20 cases. In patients with ES/NES their ES were similar to seizures in patients with only ES and their NES were similar to spells in patients with only NES. ES/NES patients were similar to ES patients in electrodiagnostic and neuroimaging studies, and similar to NES patients in psychiatric interviews and inventories. The clinical manifestations of ES and NES in the same patient are usually different. Both types of events may be stereotypic and can be distinguished and characterized during video-EEG recording. Determining what events are more prevalent or disturbing is critical. Psychiatric and antiepileptic drug treatment may be provided accordingly.

引用

页码：1530 / 1533

页数：4

共 29 条

[1] PSYCHIATRIC CLASSIFICATION OF NONCONVERSION NONEPILEPTIC SEIZURES [J].