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Psychogenic nonepileptic seizures mimicking gelastic seizures: A description of two cases()
Psychogenic nonepileptic seizures (PNES) are sudden, involuntary seizure-like attacks that, unlike epileptic seizures, are not related to electrographic ictal discharges and are psychological in nature. Psychogenic nonepileptic seizures presenting symptoms mimic a wide array of nervous system dysfun...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4543217/ https://www.ncbi.nlm.nih.gov/pubmed/27195218 http://dx.doi.org/10.1016/j.ebcr.2015.06.003 |
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author | Mascia, Addolorata Quarato, Pier Paolo D'Aniello, Alfredo Di Gennaro, Giancarlo |
author_facet | Mascia, Addolorata Quarato, Pier Paolo D'Aniello, Alfredo Di Gennaro, Giancarlo |
author_sort | Mascia, Addolorata |
collection | PubMed |
description | Psychogenic nonepileptic seizures (PNES) are sudden, involuntary seizure-like attacks that, unlike epileptic seizures, are not related to electrographic ictal discharges and are psychological in nature. Psychogenic nonepileptic seizures presenting symptoms mimic a wide array of nervous system dysfunctions, as they involve changes in behavior, motor activity, sensation, cognitive, and autonomic functions. Spontaneous paroxysms of laughing resembling gelastic seizure have only exceptionally been reported as main symptom of PNES. Here, we describe the cases of two patients with a prolonged history of laughter attacks mistaken for epilepsy and unresponsive to AED treatment. Brain MRI and interictal EEG were unremarkable. Video-EEG monitoring allowed us to document the spontaneous and suggestion-induced habitual episodes that were then diagnosed as PNES. |
format | Online Article Text |
id | pubmed-4543217 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-45432172016-05-18 Psychogenic nonepileptic seizures mimicking gelastic seizures: A description of two cases() Mascia, Addolorata Quarato, Pier Paolo D'Aniello, Alfredo Di Gennaro, Giancarlo Epilepsy Behav Case Rep Case Report Psychogenic nonepileptic seizures (PNES) are sudden, involuntary seizure-like attacks that, unlike epileptic seizures, are not related to electrographic ictal discharges and are psychological in nature. Psychogenic nonepileptic seizures presenting symptoms mimic a wide array of nervous system dysfunctions, as they involve changes in behavior, motor activity, sensation, cognitive, and autonomic functions. Spontaneous paroxysms of laughing resembling gelastic seizure have only exceptionally been reported as main symptom of PNES. Here, we describe the cases of two patients with a prolonged history of laughter attacks mistaken for epilepsy and unresponsive to AED treatment. Brain MRI and interictal EEG were unremarkable. Video-EEG monitoring allowed us to document the spontaneous and suggestion-induced habitual episodes that were then diagnosed as PNES. Elsevier 2015-08-15 /pmc/articles/PMC4543217/ /pubmed/27195218 http://dx.doi.org/10.1016/j.ebcr.2015.06.003 Text en © 2015 The Author http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Mascia, Addolorata Quarato, Pier Paolo D'Aniello, Alfredo Di Gennaro, Giancarlo Psychogenic nonepileptic seizures mimicking gelastic seizures: A description of two cases() |
title | Psychogenic nonepileptic seizures mimicking gelastic seizures: A
description of two cases() |
title_full | Psychogenic nonepileptic seizures mimicking gelastic seizures: A
description of two cases() |
title_fullStr | Psychogenic nonepileptic seizures mimicking gelastic seizures: A
description of two cases() |
title_full_unstemmed | Psychogenic nonepileptic seizures mimicking gelastic seizures: A
description of two cases() |
title_short | Psychogenic nonepileptic seizures mimicking gelastic seizures: A
description of two cases() |
title_sort | psychogenic nonepileptic seizures mimicking gelastic seizures: a
description of two cases() |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4543217/ https://www.ncbi.nlm.nih.gov/pubmed/27195218 http://dx.doi.org/10.1016/j.ebcr.2015.06.003 |
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