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Published on: May 16, 2019
[Psychogenic non epileptic seizures : Differential diagnostic features]
Philipp S Reif1, Laurent M Willems2, Adam Strzelczyk2
1Epilepsiezentrum Frankfurt Rhein-Main, Zentrum der Neurologie und Neurochirurgie, Universitätsklinikum Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Deutschland. Philipp.Reif@kgu.de.
Psychogenic nonepileptic seizures (PNES) are a crucial consideration for transient loss of consciousness. Differentiating PNES from epilepsy or syncope is key to accurate diagnosis and improved patient outcomes.
Area of Science:
- Neurology
- Psychiatry
Background:
- Psychogenic nonepileptic seizures (PNES) present diagnostic challenges in cases of transient loss of consciousness.
- Accurate differentiation from syncope and epileptic seizures is often difficult due to overlapping clinical features.
Purpose of the Study:
- To provide a comprehensive overview of PNES.
- To delineate PNES from epilepsy and syncope in clinical practice.
Main Methods:
- Review of PNES semiology and clinical presentation.
- Comparison of diagnostic criteria for PNES, epilepsy, and syncope.
Main Results:
- PNES requires careful consideration in the differential diagnosis of transient loss of consciousness.
- Misdiagnosis of PNES leads to increased morbidity, healthcare costs, and poorer patient outcomes.
Conclusions:
- Understanding the distinct clinical features of PNES is essential for accurate diagnosis.
- Effective delineation of PNES from epilepsy and syncope improves patient management and outcomes.
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