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Journals / Nöropsikiyatri Arşivi / 2012 / Cilt: 49 - Sayı: 4

Non-epileptik psikojen nobetler: Klinik pratikte cozulmesi zor tanısal bir problem

Psychogenic non-epileptic seizures: A diagnostic problem difficult to solve in clinical practice

Alperto VERROTTI
Piero PAVONE
Sergio AGOSTINELLI
Giuliana NANNI
Giuseppe GOBBI
Pages
243–247
DOI
—
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The aim of this review was to analyse the clinical aspects and the diagnostic problems of PNES in epileptic patients in order to give practical advices for the identification of this problem and for distinguishing PNES from epileptic seizures. (Archives of Neuropsychiatry 2012; 49: 243-247)

📌 3 Key Takeaways

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Objective & Hypothesis:ABSTRACT Psychogenic non-epileptic seizures (PNES) are defined as episodes of altered movements, sensations, and behaviours that resemble epileptic seizures but that are not associated with abnormal electrical brain discharges.
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Key Findings & Data:The incidence of PNES in the general population is relatively low (about 1.5/100.000 persons per year), but the data from epilepsy centres show a much higher incidence rate.
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Conclusion & Impact:The aim of this review was to analyse the clinical aspects and the diagnostic problems of PNES in epileptic patients in order to give practical advices for the identification of this problem and for distinguishing PNES from epileptic seizures. (Archives of Neuropsychiatry 2012; 49: 243-247)
🔬Design:Review & Systematic Survey
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

ABSTRACT Psychogenic non-epileptic seizures (PNES) are defined as episodes of altered movements, sensations, and behaviours that resemble epileptic seizures but that are not associated with abnormal electrical brain discharges. The incidence of PNES in the general population is relatively low (about 1.5/100.000 persons per year), but the data from epilepsy centres show a much higher incidence rate. The identification of this pathological entity has significantly increased in the last years, also thanks to the setting-up of video-electroencephalography. The main challenge for physicians and neurologists is to distinguish PNES from epileptic seizures. The aim of this review was to analyse the clinical aspects and the diagnostic problems of PNES in epileptic patients in order to give practical advices for the identification of this problem and for distinguishing PNES from epileptic seizures. (Archives of Neuropsychiatry 2012; 49: 243-247)

Özet

Non-epileptik psikojen nöbetler (NEPN), epileptik nöbeti andıran ama anormal elektriksel beyin deşarjları ile ilişkili olmayan farklı hareket, his ve davranış atakları olarak tanımlanır. Genel popülasyonda NEPN insidansı, görece düşüktür (yaklaşık yılda 1,5 /100.000 kişi ) ancak epilepsi merkezlerinin verileri çok daha yüksek insidans oranları göstermektedir. Geçtiğimiz yıllar içinde bu patolojik durumun tanısı, videoelektroensefalografinin de yardımıyla, anlamlı derecede artmıştır. Hekimler ve nörologlar için esas sorun NEPN ile gerçek nöbeti ayırmaktır. Bu derlemede; bu problemin tanımlanması ve epileptik nöbetlerden ayırıcı tanısı için, pratik önerilerde bulunmak amacı ile epileptik hastalardaki NEPN’nin klinik yönleri ve tanısal problemleri değerlendirilecektir. (Nöropsikiyatri Arflivi 2012; 49: 243-247)

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Cite This Article

VERROTTI, A., PAVONE, P., AGOSTINELLI, S., NANNI, G., GOBBI, G. (2012). Non-epileptik psikojen nobetler: Klinik pratikte cozulmesi zor tanısal bir problem. Nöropsikiyatri Arşivi, Cilt: 49 - Sayı: 4, 243–247. https://ajindex.com/articles/292598

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