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Rev Neurol (Paris) ; 172(4-5): 263-9, 2016.
Article in English | MEDLINE | ID: mdl-27117433

ABSTRACT

Psychogenic non-epileptic seizures (PNES) are defined as change in behavior or consciousness resembling epileptic seizures but which have a psychological origin. PNES are categorized as a manifestation of dissociative or somatoform (conversion) disorders. Video-EEG recording of an event is the gold standard for diagnosis. PNES represent a symptom, not the underlying disease and the mechanism of dissociation is pivotal in the pathophysiology. Predisposing, precipitating and perpetuating factors should be carefully assessed on a case-by-case basis. The process of communicating the diagnosis using a multidisciplinary approach is an important and effective therapeutic step.


Subject(s)
Psychophysiologic Disorders , Seizures , Somatoform Disorders , Brain Injuries, Traumatic/complications , Brain Injuries, Traumatic/diagnosis , Brain Injuries, Traumatic/epidemiology , Brain Injuries, Traumatic/therapy , Comorbidity , Conversion Disorder/diagnosis , Conversion Disorder/epidemiology , Conversion Disorder/etiology , Conversion Disorder/therapy , Emotions/physiology , Humans , Psychophysiologic Disorders/complications , Psychophysiologic Disorders/diagnosis , Psychophysiologic Disorders/epidemiology , Psychophysiologic Disorders/therapy , Risk Factors , Seizures/diagnosis , Seizures/epidemiology , Seizures/etiology , Seizures/therapy , Somatoform Disorders/diagnosis , Somatoform Disorders/epidemiology , Somatoform Disorders/etiology , Somatoform Disorders/therapy
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