Clinical significance of recurrent psychogenic nonepileptic seizure status

被引:71
作者
Reuber, M
Pukrop, R
Mitchell, AJ
Bauer, J
Elger, CE
机构
[1] Univ Sheffield, Royal Hallamshire Hosp, Div Genom Med, Acad Unit Neurol, Sheffield S10 2JF, S Yorkshire, England
[2] Univ Cologne, Dept Psychiat & Psychotherapy, Cologne, Germany
[3] Leicester Gen Hosp, Dept Liaison Psychiat, Brandon Mental Hlth Unit, Leicester LE5 4PW, Leics, England
关键词
psychogenic nonepileptic seizures; pseudostatus; status epilepticus; personality; somatisation;
D O I
10.1007/s00415-003-0224-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To explore the clinical significance of a history of recurrent psychogenic nonepileptic seizure status (PNES-status), this study describes the frequency of PNES-status in 85 consecutive PNES patients and examines whether there are relevant differences between patients with a history of recurrent PNES-status and other PNES-patients. PNES patients were also compared with 64 patients with epilepsy. Data were extracted from hospital records and a postal questionnaire (Dimensional Assessment of Personality Pathology-Basic Questionnaire; Screening for Somatoform Symptoms; Dissociative Experience Scale). Of the PNES-patients, 77.6% reported at least one seizure > 30 minutes (PNES-status), 27 % admission to intensive care with status. 38.8% reported recurrent hospital admissions with status (PNES-status group), the remaining patients served as PNES-controls. The only clinical difference between the two PNES groups was that status patients were younger than PNES-controls (mean age 20.3 vs. 30.3 years, p = 0.001). Our results suggest that PNES status is common and often unrecognised. There were no substantial psychometric differences between patients with recurrent PNES-status and other PNES patients although both PNES-groups had more abnormal somatisation, dissociation and personality scores than patients with epilepsy.
引用
收藏
页码:1355 / 1362
页数:8
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