Frequency of secondary conversion symptoms in children with psychogenic nonepileptic seizures
Ann Pakalnis1, Juliann Paolicchi
1Departments of Pediatrics, Ohio State University College of Medicine, 700 Children's Drive, 43205, Columbus, OH, USA. PakalnisA@pediatrics.ohio-state.edu
Abstract:
We retrospectively identified 22 patients (19 were girls) with psychogenic nonepileptic seizures (NES) studied with video EEG telemetry over a 24-month period. A history of other conversion symptoms was identified in 11 of 22 patients. Symptoms were frequently neurological in nature. A strong association with depression and history of abuse was noted in children with multiple conversion manifestations. These NES patients with secondary conversion symptoms may require more intensive psychological therapy and be at risk for long-term pathology.
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