Diagnostic delay in psychogenic nonepileptic seizures

被引：345

作者：

Reuber, M ^{[1
]}

Fernández, G ^{[1
]}

Bauer, J ^{[1
]}

Helmstaedter, C ^{[1
]}

Elger, CE ^{[1
]}

机构：

[1] Univ Bonn, Dept Epileptol, D-53105 Bonn, Germany

来源：

NEUROLOGY | 2002年 / 58卷 / 03期

关键词：

D O I：

10.1212/WNL.58.3.493

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Delay to diagnosis was studied in 313 consecutive patients with psychogenic nonepileptic seizures (PNES). On average, patients with PNES were diagnosed 7.2 years after manifestation (SD 9.3 years). Younger age, interictal epileptiform potentials in the EEG, and anticonvulsant treatment were associated with longer delays. Other patient factors did not explain the great variability of the time to diagnosis, suggesting that physician factors contributed to delays.

引用

收藏

页码：493 / 495

页数：3

相关论文

共 10 条

[1] Retrospective analysis of the effects of psychotherapeutic interventions on outcomes of psychogenic nonepileptic seizures [J].

Aboukasm, A ;

Mahr, G ;

Gahry, BR ;

Thomas, A ;

Barkley, GL .

EPILEPSIA, 1998, 39 (05) :470-473

[2] Misdiagnosis and treatment in juvenile myoclonic epilepsy [J].

Atakli, D ;

Sozuer, D ;

Atay, T ;

Baybas, S ;

Arpaci, B .

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 1998, 7 (01) :63-66

[3]

Bowman ES, 1996, AM J PSYCHIAT, V153, P57

[4] Closed eyes during a seizure indicate psychogenic etiology: A study with suggestive seizure provocation [J].

Flugel, D ;

Bauer, J ;

Kaseborn, U ;

Burr, W ;

Elger, CE .

JOURNAL OF EPILEPSY, 1996, 9 (03) :165-169

[5] DELAYED DIAGNOSIS OF JUVENILE MYOCLONIC EPILEPSY [J].

GRUNEWALD, RA ;

CHRONI, E ;

PANAYIOTOPOULOS, CP .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1992, 55 (06) :497-499

[6] Psychogenic seizures [J].

Lesser, RP .

NEUROLOGY, 1996, 46 (06) :1499-1507

[7] Postoperative pseudostatus - Not everything that shakes is epilepsy [J].

Reuber, M ;

Enright, SM ;

Goulding, PJ .

ANAESTHESIA, 2000, 55 (01) :74-78

[8] Incidence of psychogenic seizures in adults: A population-based study in Iceland [J].

Sigurdardottir, KR ;

Olafsson, E .

EPILEPSIA, 1998, 39 (07) :749-752

[9] EEG ABNORMALITIES IN 5,893 JET PILOT APPLICANTS REGISTERED IN A 20-YEAR PERIOD [J].

TROJABORG, W .

CLINICAL ELECTROENCEPHALOGRAPHY, 1992, 23 (02) :72-78

[10]

WYLLIE E, 1990, PEDIATRICS, V85, P480