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Psychogenic Nonepileptic Seizures

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Outcome of CBT-based multimodal psychotherapy in patients with psychogenic nonepileptic seizures: A prospective naturalistic study.

Kirsten Labudda, Michael Frauenheim, Inga Miller, Mario Schrecke, Christian Brandt, Christian G Bien,

PURPOSE:Psychotherapy is recommended in patients with psychogenic nonepileptic seizures (PNES). To date, however, a limited number of studies have attempted to assess the long-term effectiveness of psychotherapy in patients with PNES. Here, we report the short and six-month follow-up seizure and psychopathological outcomes in patients with PNES who have undergone ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 106:107029]

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Driving in patients with psychogenic nonepileptic seizures.

Ali A Asadi-Pooya, Maryam Homayoun,

PURPOSE:We investigated the rate of driving in patients with psychogenic nonepileptic seizures (PNES) from a large cohort in Iran. We hypothesized that these patients commonly do not drive. We also investigated the potential factors that may be associated with driving in these patients. METHODS:In this retrospective study, all patients with ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 105:106991]

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Peri-ictal responsiveness to the social environment is greater in psychogenic nonepileptic than epileptic seizures.

Alistair Wardrope, Siew Wong, Jonathan McLaughlan, Maytal Wolfe, Maria Oto, Markus Reuber,

OBJECTIVE:To look for evidence of peri-ictal social interaction in psychogenic nonepileptic seizures (PNES) and epileptic seizures exploring the notion of PNES as a form of nonverbal communication. METHODS:Video recordings of typical seizures experienced by patients with epilepsy and PNES were obtained in a naturalistic social setting (residential epilepsy monitoring unit). ... Read more >>

Epilepsia (Epilepsia)
[2020, :]

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Use of Combined Electroencephalography and Tilt Table Testing to Determine Etiology of Loss of Consciousness.

Neeraj Singh, Timothy Lynch, Anthony Ritaccio,

Tilt table testing is a common noninvasive diagnostic test performed to reproduce and evaluate syncope in a vulnerable patient and subsequently guide therapy. Electroencephalography (EEG) is typically useful for identifying interictal and ictal abnormalities within the context of epilepsy or suspected epilepsy. We report a series of patients who underwent ... Read more >>

Neurodiagn J (The Neurodiagnostic journal)
[2020, 60(1):36-40]

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The coexistence of psychogenic nonepileptic and epileptic seizures in the same patient is more frequent than expected: Is there any clinical feature for defining these patients?

Mehmet Ilker Yon, Filiz Azman, F Irsel Tezer, Serap Saygi,

OBJECTIVES:This study aimed to investigate the prevalence of psychogenic nonepileptic seizures (PNES) and PNES-epilepsy coexistence within all video-electroencephalography (EEG) monitoring unit (VEMU) referrals and to identify semiological and electrophysiological features to differentiate patients with PNES-epilepsy coexistence from PNES-only. METHODS:We retrospectively reviewed medical files, VEMU reports, and videos of 1983 adult ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 105:106940]

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Psychogenic nonepileptic seizures in children-Prospective validation of a clinical care pathway & risk factors for treatment outcome.

Tyson Sawchuk, Jeffrey Buchhalter, Birgit Senft,

PURPOSE:The purpose of this study was to prospectively validate a care pathway for psychogenic nonepileptic seizures (PNES) in a pediatric setting. The pathway was developed based on a previous study of patients at our center, which demonstrated positive treatment outcomes of 80% full or partial remission. Sequentially referred patients with ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 105:106971]

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Emergency room diagnoses of psychogenic nonepileptic seizures with psychogenic status and functional (psychogenic) symptoms: Whopping.

Helene Kholi, Laurent Vercueil,

Collecting 130 electronic medical records and diagnoses from emergency room stays of eleven patients with confirmed psychogenic nonepileptic seizure (PNES) over a 17-year period (2001-2018), 48 different diagnostic terms were retrieved. This emphasized the need for a consensual terminology encompassing not only PNES but also all functional transient (paroxysmal) events, ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 104(Pt A):106882]

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International multicenter studies on psychogenic nonepileptic seizures: A systematic review.

Ali A Asadi-Pooya,

The aim of the current paper is to systematically review the literature on the existing international multicenter studies on various aspects of PNES and to highlight their findings and significance. I searched the electronic database PubMed for articles that included any of these search terms: Non-epileptic seizures, Nonepileptic seizures, Pseudoseizures, ... Read more >>

Psychiatry Res (Psychiatry research)
[2020, 285:112812]

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Terminology for psychogenic nonepileptic seizures: Making the case for "functional seizures".

Ali A Asadi-Pooya, Francesco Brigo, Bridget Mildon, Timothy R Nicholson,

PURPOSE:The purpose of the study was to review the literature on the terminologies for psychogenic nonepileptic seizures (PNES) and make a proposal on the terminology of this condition. This proposal reflects the authors' own opinions. METHODS:We systematically searched MEDLINE (accessed from PubMed) and EMBASE from inception to October 10, 2019 ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 104(Pt A):106895]

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Children with Psychogenic Nonepileptic Seizures.

Aisha Gillan, Safiullah Shareef,

A large multicenter retrospective cohort study was conducted by researchers from the Pediatric Health Information System hospital network to determine differences in demographics, clinical characteristics, testing, treatment, and healthcare use between children aged 8-20 years with epilepsy (n = 13,241) and those with psychogenic nonepileptic seizures (PNES) secondary to conversion ... Read more >>

Pediatr Neurol Briefs (Pediatric neurology briefs)
[2019, 33:4]

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Disability benefits in patients with psychogenic nonepileptic seizures: a survey of physicians' opinions.

Ali A Asadi-Pooya, Seyed Ali Dastgheib, Masoume Nazeri,

OBJECTIVES:The aim of the current study was to gather the views of healthcare providers practicing in the field of psychogenic nonepileptic seizures (PNES) on the issue of "disability benefits eligibility and PNES". METHODS:This was a questionnaire study that was sent to all neurologists and psychiatrists practicing in Fars province, Iran. ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 103(Pt A):106877]

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Examination of Potential Differences in Reporting of Sensitive Psychosocial Measures via Diagnostic Evaluation Using Computer Video Telehealth.

W Curt LaFrance, Wing Lam Natalie Ho, Alana Bhatla, Grayson Baird, Hamada Hamid Altalib, Linda Godleski,

OBJECTIVE:The authors compared baseline characteristics and reporting of psychosocial measures among veterans with seizures who were evaluated in-clinic or remotely via computer video telehealth (CVT). It was hypothesized that the CVT group would report less trauma history, drug use, and comorbid symptoms compared with veterans seen in-clinic. METHODS:A cross-sectional design ... Read more >>

J Neuropsychiatry Clin Neurosci (The Journal of neuropsychiatry and clinical neurosciences)
[2020, :appineuropsych19080177]

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Job consultation in patients with psychogenic nonepileptic seizures: Systematic review and survey of physicians' opinion.

Masoume Nazeri, Seyed Ali Dastgheib, Ali A Asadi-Pooya,

OBJECTIVES:The objectives of this study were 1) to review the literature about "job/employment and psychogenic nonepileptic seizures (PNES)" and 2) to gather the views of neurologists and psychiatrists on the issue of job consultation in patients with PNES. METHODS:Phase one involved a systematic literature review; phase two involved the collection ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 103(Pt A):106863]

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Assessment of the Predictive Value of Outpatient Smartphone Videos for Diagnosis of Epileptic Seizures.

William O Tatum, Lawrence J Hirsch, Michael A Gelfand, Emily K Acton, W Curt LaFrance, Robert B Duckrow, David K Chen, Andrew S Blum, John D Hixson, Joe F Drazkowski, Selim R Benbadis, Gregory D Cascino, ,

Importance:Misdiagnosis of epilepsy is common. Video electroencephalogram provides a definitive diagnosis but is impractical for many patients referred for evaluation of epilepsy. Objective:To evaluate the accuracy of outpatient smartphone videos in epilepsy. Design, Setting, and Participants:This prospective, masked, diagnostic accuracy study (the OSmartViE study) took place between August 31, 2015, ... Read more >>

JAMA Neurol (JAMA neurology)
[2020, :]

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Psychogenic nonepileptic seizures that remit when the diagnosis is given: Just good luck?

Roderick Duncan, John Horwood, Saif Razvi, Sharon Mulhern,

OBJECTIVE:Some patients with psychogenic nonepileptic seizures (PNES) remit when given the diagnosis. It is not realistically possible to test this potential therapeutic effect in an Randomized Controlled Trial (RCT) so we aim to statistically demonstrate it using the temporal relationship between the communication of the diagnosis and the timing of ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 102:106667]

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Psychogenic nonepileptic seizures: The sex ratio trajectory across the lifespan.

Ali A Asadi-Pooya, Maryam Homayoun,

PURPOSE:We investigated the sex ratio trajectory across the lifespan in patients with psychogenic nonepileptic seizures (PNES). We hypothesized that there are significant changes in the trajectory of the sex ratio in these patients across the lifespan with respect to the age at onset. METHODS:In this retrospective study, all patients with ... Read more >>

Seizure (Seizure)
[2020, 75:63-65]

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Changes in Vital Signs During Epileptic and Psychogenic Nonepileptic Attacks: A Video-EEG Study.

Reda Badry,

INTRODUCTION:Epilepsy is a common disorder. Psychogenic nonepileptic attack (PNEA) is one of the epilepsy mimics. Video EEG is still the gold standard tool that differentiates between epileptic seizures (ES) and PNEA. Oxygen saturation (SaO2) and ictal vital signs, including heart rate (HR), respiration rate (RR), body temperature, systolic blood pressure ... Read more >>

J Clin Neurophysiol (Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society)
[2020, 37(1):74-78]

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Psychogenic nonepileptic seizures in adults with epilepsy: a tertiary hospital-based study.

Sherifa Ahmed Hamed, Fadia Ahmed Attiah, Mohamad Fawzy,

Objectives: Many studies describe and characterize psychogenic nonepileptic seizures (PNES) in high-income but few come from low/middle and low income countries.Design/methods: We aimed to determine the prevalence of PNES coexisted in adults with epilepsy and to characterize their semiology, comorbidities and predictors whether presented with epilepsy (nā€‰=ā€‰563) or alone (nā€‰=ā€‰73). ... Read more >>

Int. J. Neurosci. (The International journal of neuroscience)
[2019, :1-11]

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A Qualitative Analysis of School Nurses' Experience Caring for Students With Psychogenic Nonepileptic Events.

Debbie Terry, Kristen Trott,

Psychogenic nonepileptic events (PNEE) are paroxysmal changes in behavior resembling epileptic seizures but with no electrographic correlate and are instead caused by psychological factors. In this qualitative study, semistructured interviews were conducted with 10 school nurses to identify how they perceive the experience of caring for a student with PNEE ... Read more >>

J Sch Nurs (The Journal of school nursing : the official publication of the National Association of School Nurses)
[2019, :1059840519889395]

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Management of functional neurological disorder.

Gabriela S Gilmour, Glenn Nielsen, Tiago Teodoro, Mahinda Yogarajah, Jan Adriaan Coebergh, Michael D Dilley, Davide Martino, Mark J Edwards,

Functional neurological disorder (FND) is a common cause of persistent and disabling neurological symptoms. These symptoms are varied and include abnormal control of movement, episodes of altered awareness resembling epileptic seizures and abnormal sensation and are often comorbid with chronic pain, fatigue and cognitive symptoms. There is increasing evidence for ... Read more >>

J. Neurol. (Journal of Neurology)
[2020, :]

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First do no harm: Preventing harm and optimizing care in psychogenic nonepileptic seizures.

Clark Johnsen, Helen T Ding,

Psychogenic nonepileptic seizures (PNES) are challenging clinical occurrences consisting of any combination of altered movement, sensation, or awareness that resemble epileptic seizures (ES) but do not coincide with electrographic ictal discharges and are presumed to be neuropsychiatric-neurobehavioral in origin. Securing the PNES diagnosis is a crucial first step and is ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 102:106642]

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Reduced left amygdala volume in patients with dissociative seizures (psychogenic nonepileptic seizures).

Hiroyuki Tatekawa, Wesley T Kerr, Ivanka Savic, Jerome Engel, Noriko Salamon,

PURPOSE:This study specifically investigated differences of amygdalar and hippocampal volumes between patients with dissociative seizures (DS), mesial temporal lobe sclerosis (MTS), and normal controls (NC). METHODS:Between 2003 and 2018, 127 patients diagnosed with DS and 278 with MTS were recruited. An additional 52 NC subjects were recruited between 2015 and ... Read more >>

Seizure (Seizure)
[2020, 75:43-48]

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Depression, anxiety, and clinical history in Spanish-speaking American patients with psychogenic nonepileptic seizures (PNES) compared with Spanish-speaking American patients with epilepsy.

Lorna Myers, Robert Trobliger, Marcela Bonafina, Gonzalo Vazquez-Casals, Martin Lancman, Marcelo Lancman,

OBJECTIVE:The objective of this study was to compare Spanish-speaking American patients with epilepsy to Spanish-speaking American patients with psychogenic nonepileptic seizures (PNES) on depression, anxiety, and other clinical variables. BACKGROUND:Research on Spanish-speaking American patients with epilepsy or PNES is relatively infrequent, with only a few studies on psychopathology in these ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 102:106694]

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Attention and inhibitory control deficits in patients with genetic generalized epilepsy and psychogenic nonepileptic seizure.

Leila Simani, Mehrdad Roozbeh, Mohammad Rostami, Hossein Pakdaman, Mahtab Ramezani, Marjan Asadollahi,

This study aimed to evaluate the attention and inhibitory control functions in patients with genetic generalized epilepsy (GGE) and psychogenic nonepileptic seizure (PNES) and compare the results with the healthy control subjects. A total of 30 patients with GGE, 30 patients with PNES, and 32 healthy control subjects were included ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 102:106672]

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Cognitive-emotion processing in psychogenic nonepileptic seizures.

Rachael Rosales, Barbara Dworetzky, Gaston Baslet,

BACKGROUND:Previous literature suggests that cognitive-emotion processing contributes to the pathogenesis of psychogenic nonepileptic seizures (PNES). Characterization of alterations in cognitive-emotion processing in PNES could inform treatment. METHODS:In this descriptive, cross-sectional study, 143 patients with video electroencephalogram (EEG) confirmed PNES were prospectively recruited. Patients completed self-report questionnaires on emotion perception (Trait ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 102:106639]

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