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Related Experiment Videos

Non-epileptic attack disorder (NEAD): a comprehensive review.

P Francis1, G A Baker

  • 1University Department of Neurosciences, Walton Centre for Neurology and Neurosurgery, Liverpool, UK.

Seizure
|March 26, 1999
PubMed
Summary

Non-epileptic attack disorder (NEAD) is common in intractable epilepsy. Misdiagnosis risks patient safety and overlooks psychological distress, necessitating better recognition and understanding.

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Ten things every neurologist needs to know about neuropsychological assessments and interventions in people with epilepsy.

European journal of neurology·2019

Area of Science:

  • Neurology
  • Psychiatry
  • Clinical Psychology

Background:

  • Non-epileptic attack disorder (NEAD) affects up to 36% of individuals with intractable epilepsy.
  • Failure to diagnose NEAD can lead to significant patient risks, including polypharmacy, medication toxicity, and unaddressed psychological distress.

Purpose of the Study:

  • To review the historical and societal context of NEAD.
  • To discuss the varied terminology, epidemiology, diagnostic challenges, and etiological factors associated with NEAD compared to epilepsy.

Main Methods:

  • Literature review examining historical, societal, epidemiological, diagnostic, and etiological aspects of NEAD.
  • Comparative analysis of NEAD and epilepsy, focusing on diagnostic and classification issues.

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Main Results:

  • NEAD is a recognized clinical entity with significant prevalence in epilepsy populations.
  • Diagnostic and classification challenges persist, often leading to misdiagnosis or delayed recognition.
  • The review outlines the risks of failing to identify NEAD and discusses its theoretical and empirical causes.

Conclusions:

  • Accurate identification and diagnosis of NEAD are crucial for effective patient management and to prevent associated risks.
  • Further research into the etiology and improved diagnostic criteria for NEAD is warranted.
  • Understanding the psychophysiological nature of NEAD is essential for comprehensive patient care.