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Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
Psychogenic nonepileptic seizures (PNESs) are diagnosed when disruptive changes in behaviour, thinking, or emotion resemble epileptic seizures (ESs), but no paroxysmal discharges are seen on electroencephalogram (EEG) and do not originate from another medical illness. The gold standard for PNES diag...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Hindawi Publishing Corporation
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766503/ https://www.ncbi.nlm.nih.gov/pubmed/19859582 http://dx.doi.org/10.1155/2009/712813 |
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author | Scévola, Laura D'Alessio, Luciana Saferstein, Dario Centurión, Estela Consalvo, Damián Kochen, Silvia |
author_facet | Scévola, Laura D'Alessio, Luciana Saferstein, Dario Centurión, Estela Consalvo, Damián Kochen, Silvia |
author_sort | Scévola, Laura |
collection | PubMed |
description | Psychogenic nonepileptic seizures (PNESs) are diagnosed when disruptive changes in behaviour, thinking, or emotion resemble epileptic seizures (ESs), but no paroxysmal discharges are seen on electroencephalogram (EEG) and do not originate from another medical illness. The gold standard for PNES diagnosis is video electroencephalogram (Video-EEG). PNESs are defined by modern psychiatry as conversion and dissociative disorders but these disorders may coexist with many others psychiatric disorders, including depression, posttraumatic stress disorder, and personality disorders. It is well known that epileptic seizures are a frequent and well-studied complication of traumatic head injury (THI). However, THI may also generate psychic symptoms including PNES. In this paper we describe a patient who developed PNES after THI in a bus accident and received a diagnosis of refractory epilepsy for 24 years until she underwent Video-EEG. |
format | Text |
id | pubmed-2766503 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-27665032009-10-26 Psychogenic Nonepileptic Seizures after Head Injury: A Case Report Scévola, Laura D'Alessio, Luciana Saferstein, Dario Centurión, Estela Consalvo, Damián Kochen, Silvia Case Rep Med Case Report Psychogenic nonepileptic seizures (PNESs) are diagnosed when disruptive changes in behaviour, thinking, or emotion resemble epileptic seizures (ESs), but no paroxysmal discharges are seen on electroencephalogram (EEG) and do not originate from another medical illness. The gold standard for PNES diagnosis is video electroencephalogram (Video-EEG). PNESs are defined by modern psychiatry as conversion and dissociative disorders but these disorders may coexist with many others psychiatric disorders, including depression, posttraumatic stress disorder, and personality disorders. It is well known that epileptic seizures are a frequent and well-studied complication of traumatic head injury (THI). However, THI may also generate psychic symptoms including PNES. In this paper we describe a patient who developed PNES after THI in a bus accident and received a diagnosis of refractory epilepsy for 24 years until she underwent Video-EEG. Hindawi Publishing Corporation 2009 2009-10-25 /pmc/articles/PMC2766503/ /pubmed/19859582 http://dx.doi.org/10.1155/2009/712813 Text en Copyright © 2009 Laura Scévola et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Scévola, Laura D'Alessio, Luciana Saferstein, Dario Centurión, Estela Consalvo, Damián Kochen, Silvia Psychogenic Nonepileptic Seizures after Head Injury: A Case Report |
title | Psychogenic Nonepileptic Seizures after Head Injury: A Case Report |
title_full | Psychogenic Nonepileptic Seizures after Head Injury: A Case Report |
title_fullStr | Psychogenic Nonepileptic Seizures after Head Injury: A Case Report |
title_full_unstemmed | Psychogenic Nonepileptic Seizures after Head Injury: A Case Report |
title_short | Psychogenic Nonepileptic Seizures after Head Injury: A Case Report |
title_sort | psychogenic nonepileptic seizures after head injury: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766503/ https://www.ncbi.nlm.nih.gov/pubmed/19859582 http://dx.doi.org/10.1155/2009/712813 |
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