Etiology, diagnosis, and treatment of nonepileptic seizures.

被引：12

作者：

Barry J.J. ^{[1
]}

Sanborn K. ^{[1
]}

机构：

[1] Department of Psychiatry, Stanford University, 401 Quarry Road, Stanford, 94305, CA

来源：

Current Neurology and Neuroscience Reports | 2001年 / 1卷 / 4期

关键词：

Epileptic Seizure; Minnesota Multiphasic Personality Inventory; Seizure Induction; Dissociative Experience Scale; Dissociative Identity Disorder;

D O I：

10.1007/s11910-001-0094-7

中图分类号：

学科分类号：

摘要：

Psychogenic nonepileptic seizures (NES) can be classified into five categories. This review focuses on NES associated with emotional conflict, by far the most common and important group. Etiology is speculative, but the background histories of these patients are often similar. The presence of a trauma history, depression, post-traumatic stress symptoms, and the use of dissociation plus cognitive dysfunction possibly point to an organic etiology. The presentation of NES in children and adults is discussed, along with the differential diagnosis. The diagnostic differential is lengthy, with epileptic seizures of frontal lobe origin presenting a unique challenge. Diagnostic procedures are reviewed with an emphasis on the utility of hypnosis with seizure induction. Presenting the diagnosis to the patient, the role of the neurologist, and the role of the mental health consultant are reviewed. Issues in the doctor-patient relationship are also addressed, as well as the overall prognosis.

引用

页码：381 / 389

页数：8

共 84 条

[21]

Bowman ES(2000)Postoperative pseudostatus Anaesthesia 55 70-78

[22]

Coons PM(2000)Nonepileptic seizures in pregnancy Neurology 55 120-121

[23]

Alper K(1998)New-onset psychogenic seizures after surgery for epilepsy Arch Neurol 55 726-730

[24]

Devinsky O(1999)The role of quantitative ictal SPECT analysis in the evaluation of nonepileptic seizures J Neuroimag 9 210-216

[25]

Perrine K(1995)Differential response characteristics in nonepileptic and epileptic seizure patients on a test of verbal memory and learning Neurology 45 2029-2034

[26]

Barry JJ(1997)The use of placebo in diagnosing psychogenic seizures: who is be deceived Sem Neurol 17 213-218

[27]

Atzmon O(1994)Utility and reliability of placebo infusion in the evaluation of patients with seizures Neurology 44 394-399

[28]

Morrell MP(1994)Psychogenic seizures in children: long-term analysis of 43 cases J Child Neurol 9 404-407

[29]

Bowman ES(2000)Nonepileptic seizures Curr Treat Options Neurol 2 559-569

[30]

Krumholz A(1998)Retrospective analysis of the effects of psychotherapeutic interventions on outcomes of psychogenic seizures Epilepsia 39 470-473

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