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Current Neurology and Neuroscience Reports
Published in: Current Neurology and Neuroscience Reports 9/2017

01-09-2017 | Epilepsy (CW Bazil, Section Editor)

Psychogenic Non-Epileptic Seizures

Authors: David K. Chen, Esha Sharma, W. Curt LaFrance Jr

Published in: Current Neurology and Neuroscience Reports | Issue 9/2017

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Abstract

Purpose of Review

In this review, we elucidate the evaluation process involved in the diagnosis of psychogenic non-epileptic seizures (PNES). Minimum clinical criteria required to attain this diagnosis via a staged approach are delineated. The psychological underpinnings and management of PNES from the neurologists’ perspective are also explored.

Recent Findings

Helpful clues can be deduced from history-taking, seizure semiology, ictal/peri-ictal physical exam, and ictal/inter-ictal EEG data. No single clinical data point is definitively diagnostic of PNES. Instead, the level of certainty for PNES diagnosis is contingent upon concordance of the composite clinical evidence available. Robust neurologist-patient alliance not only facilitates the evaluation process but can influence therapeutic impact.

Summary

While diagnosis of PNES can be challenging, this diagnosis can be reliably made upon establishing concordance of the historical, physical exam, and video-EEG findings. Evidence-based treatments are available for patients with PNES. Continued efforts remain necessary to enhance timely diagnosis and interdisciplinary management for patients with PNES.
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Metadata
Title
Psychogenic Non-Epileptic Seizures
Authors
David K. Chen
Esha Sharma
W. Curt LaFrance Jr
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 9/2017
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-017-0781-7

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