The diagnostic significance of video-EEG monitoring findings on pseudoseizure patients differs between neurologists and psychiatrists

被引:71
作者
Harden, CL
Burgut, FT
Kanner, AM
机构
[1] Cornell Univ, Weill Med Coll, Comprehens Epilepsy Ctr, Dept Neurol & Neurosci, New York, NY 10021 USA
[2] Rush Presbyterian St Lukes Med Ctr, Rush Med Coll, Rush Epilepsy Ctr, Dept Neurol Sci, Chicago, IL 60612 USA
关键词
psychogenic pseudoseizures; video-EEG monitoring; psychiatrists;
D O I
10.1046/j.1528-1157.2003.33002.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose: The diagnosis of psychogenic pseudoseizures has improved with the availability of video-electroencephalography (EEG) monitoring; however, the outcome of this difficult disorder has remained poor. In an attempt to elucidate factors contributing to this poor outcome, we hypothesized that neurologists and psychiatrists differ in their views of the diagnosis and management of psychogenic pseudoseizure patients. Methods: The hypothesis was tested by using a brief anonymous questionnaire administered to neurologists and psychiatrists at continuing medical education (CME) conferences. Results: We found that neurologists and psychiatrists differ significantly in their opinion as to the accuracy of the video-EEG procedure; psychiatrists view video-EEG as often inaccurate in the diagnosis of psychogenic pseudoseizures compared with neurologists (p < 0.001). Neurologists, more frequently than psychiatrists, thought that patients' own psychopathology rather than "doctors dropping the ball" was a predominant factor in contributing to therapeutic failure, but this difference between specialties did not reach statistical significance. Conclusions: Resolving the differences between neurologists and psychiatrists would be helpful in caring for psychogenic pseudoseizure patients. These results support the need to encourage psychiatrists to have an integral involvement in epilepsy centers and to improve the understanding of psychogenic pseudoseizures in both disciplines.
引用
收藏
页码:453 / 456
页数:4
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