Psychogenic non-epileptic seizures (PNES)

被引：33
作者：
Hingray, C. [1 ]
Biberon, J. [2 ]
El-Hage, W. [3 ,4 ]
de Toffol, B. [2 ,3 ]
机构：
[1] CHRU Nancy, Serv Neurol, 29 Ave Marechal de Lattre de Tassigny, F-54000 Nancy, France
[2] CHU Bretonneau, Serv Neurol & Neurophysiol Clin, 2 Blvd Tonnelle, F-37044 Tours, France
[3] INSERM, U930, 10 Blvd Tonnelle, F-37000 Tours, France
[4] Clin Psychiat Univ, Rue Coq, F-37540 St Cyr Sur Loire, France
来源：
REVUE NEUROLOGIQUE | 2016年 / 172卷 / 4-5期
关键词：
Psychogenic non epileptic seizures; Epilepsy; Dissociative seizures; Psychic trauma; RANDOMIZED CONTROLLED-TRIAL; VIDEO-EEG-ANALYSIS; PSYCHOEDUCATIONAL INTERVENTION; PSYCHIATRIC COMORBIDITY; ATTACK DISORDER; DIAGNOSIS; PSEUDOSEIZURES; INDUCTION; CLASSIFICATION; CONSCIOUSNESS;
D O I：
10.1016/j.neurol.2015.12.011
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Psychogenic non-epileptic seizures (PNES) are defined as change in behavior or consciousness resembling epileptic seizures but which have a psychological origin. PNES are categorized as a manifestation of dissociative or somatoform (conversion) disorders. Video-EEG recording of an event is the gold standard for diagnosis. PNES represent a symptom, not the underlying disease and the mechanism of dissociation is pivotal in the pathophysiology. Predisposing, precipitating and perpetuating factors should be carefully assessed on a case by by-case basis. The process of communicating the diagnosis using a multidisciplinary approach is an important and effective therapeutic step. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：263 / 269
页数：7
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