Neurobiological origin of psychogenic nonepileptic seizures: A review of imaging studies

被引:39
作者
Asadi-Pooya, Ali A. [1 ,2 ]
机构
[1] Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA 19107 USA
[2] Shiraz Univ Med Sci, Shiraz Med Sch, Neurosci Res Ctr, Shiraz, Iran
关键词
Nonepileptic seizures; MRI; Functional neuroimaging; fMRI; PET; FUNCTIONAL CONNECTIVITY; CLINICAL CHARACTERISTICS; CORTICAL THICKNESS; DISSOCIATION; NETWORKS; EPILEPSY;
D O I
10.1016/j.yebeh.2015.09.020
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Psychogenic nonepileptic seizures (PNES) are relatively common occurrences in epilepsy centers. Pathophysiology of PNES is still poorly understood. In this paper, the evidence for a neurobiological origin of PNES will be reviewed. Recent evidence suggests altered functional and structural brain connectivity as an underlying pathophysiological mechanism in patients with PNES. Pursuing the concept of connectome in patients with PNES and comparing the findings with healthy individuals may result in a breakthrough in identifying the exact neurobiological origin of PNES. Finding the neurobiological bases and identification of biomarkers of PNES will potentially have important clinical implications in formulating better diagnostic and therapeutic approaches for affected patients. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:256 / 259
页数:4
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