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Psychogenic nonepileptic seizures: A case series
Nishtha Gupta1, Supriya Davis1, Sana Dhamija1
1Department of Psychiatry, Dr. D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Industrial Psychiatry Journal
|December 15, 2021
Summary
Psychogenic nonepileptic seizures (PNES) mimic epileptic seizures, causing diagnostic delays. Early diagnosis and individualized treatment are crucial for better patient outcomes beyond just seizure frequency.
Area of Science:
- Neurology
- Psychiatry
- Clinical Medicine
Background:
- Epileptic seizures are defined by abnormal synchronous cortical activity.
- Psychogenic nonepileptic seizures (PNES) lack this typical EEG manifestation.
- Differentiating PNES from epileptic seizures can be challenging clinically.
Observation:
- This case series highlights PNES presenting with diagnostic dilemmas.
- Significant diagnostic delays, often spanning years, are common in PNES.
- Treatment selection for PNES requires consideration of individual underlying factors.
Findings:
- PNES can mimic epileptic seizures, complicating diagnosis.
- Delayed diagnosis is a frequent issue in PNES management.
- Effective treatment strategies for PNES are individualized.
Implications:
- Accurate diagnosis of PNES is critical to avoid inappropriate epilepsy treatments.
- Individualized treatment approaches are essential for managing PNES.
- Prognosis for PNES varies, with a significant portion becoming chronic.
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