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Published on: December 22, 2016
Induction of psychogenic nonepileptic seizures without placebo
S R Benbadis1, K Johnson, K Anthony
1Comprehensive Epilepsy Program, University of South Florida College of Medicine, Tampa, FL, USA. sbenbadi@hsc.usf.edu
Abstract:
The diagnosis of psychogenic nonepileptic seizures (PNES) can only be made with EEG-video monitoring. The authors describe a provocative technique without placebo. Patients with a clinical suspicion for PNES underwent an activation procedure using suggestion, hyperventilation, and photic stimulation. Of 19 inductions performed, 16 (84%) were successful in inducing the habitual episode. The authors' technique had a sensitivity comparable to those using placebo (e.g., saline injection), but does not have disadvantages.
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