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Psychogenic (nonepileptic) seizures.

Allan Krumholz1, Jennifer Hopp

  • 1Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.

Seminars in Neurology
|June 23, 2006
PubMed
Summary
This summary is machine-generated.

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Psychogenic seizures are disabling neurological events affecting 20% of intractable epilepsy cases. Early diagnosis and integrated care improve outcomes for these challenging nonepileptic seizures.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Psychogenic seizures are a significant subset of neurological disorders, comprising about 20% of intractable seizure cases referred to epilepsy centers.
  • These events are distinct from epileptic seizures, with a reported annual incidence approximately 4% that of true epilepsy.

Observation:

  • Patients with psychogenic seizures often experience more frequent, severe, and disabling events compared to those with epilepsy.
  • These seizures negatively impact quality of life, highlighting the need for accurate diagnosis and effective management strategies.

Findings:

  • Video electroencephalographic (EEG) monitoring has enhanced the accuracy of diagnosing psychogenic seizures.
  • Prognosis is linked to early diagnosis, younger age at onset, fewer psychological comorbidities, and consistent clinical follow-up.

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Implications:

  • Integrated psychological and psychiatric assessments are crucial for understanding etiology and managing comorbid conditions.
  • Improved diagnostic tools and comprehensive management plans are essential for better patient outcomes in psychogenic seizures.