Clinical characteristics and outcome of patients diagnosed with psychogenic nonepileptic seizures: a 5-year review.

Hdl Handle:
http://hdl.handle.net/10147/209280
Title:
Clinical characteristics and outcome of patients diagnosed with psychogenic nonepileptic seizures: a 5-year review.
Authors:
O'Sullivan, S S; Spillane, Jennifer E; McMahon, Elaine M; Sweeney, Brian J; Galvin, Roderick J; McNamara, Brian; Cassidy, Eugene M
Affiliation:
Department of Neurology, Cork University Hospital, Wilton, Cork, Ireland., sosulliv@ion.ucl.ac.uk
Citation:
Epilepsy Behav. 2007 Aug;11(1):77-84. Epub 2007 May 22.
Journal:
Epilepsy & behavior : E&B
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209280
DOI:
10.1016/j.yebeh.2007.04.003
PubMed ID:
17517535
Abstract:
OBJECTIVE: The goal of this article was to describe the clinical characteristics and outcomes of patients diagnosed with psychogenic nonepileptic seizures (PNES). METHODS: We conducted a retrospective review of patients diagnosed with PNES in a 5-year period. RESULTS: Fifty patients with PNES were identified, giving an estimated incidence of 0.91/100,000 per annum. Thirty-eight were included for review, 15 of whom were male (39%). Eighteen patients had been diagnosed with epilepsy as well as PNES (47%). We demonstrated a gender difference in our patients, with males having higher seizure frequencies, more antiepileptic drug use, and a longer interval before diagnosis of PNES. Females were diagnosed with other conversion disorders more often than males. Impaired social function was observed in PNES, as was resistance to psychological interventions with a subsequent poor response to treatments. CONCLUSIONS: PNES remains a difficult condition to treat, and may affect males in proportions higher than those described in previous studies.
Language:
eng
MeSH:
Adult; Anticonvulsants/*therapeutic use; Conversion Disorder/complications/diagnosis/psychology; *Cost of Illness; Electroencephalography; Female; Humans; Male; Mental Disorders/complications/diagnosis/psychology; Middle Aged; Psychophysiologic Disorders/complications/*diagnosis/psychology; Retrospective Studies; Seizures/etiology/psychology/*therapy; Severity of Illness Index; Sex Factors; Statistics, Nonparametric; Treatment Outcome
ISSN:
1525-5050 (Print); 1525-5050 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Sullivan, S Sen_GB
dc.contributor.authorSpillane, Jennifer Een_GB
dc.contributor.authorMcMahon, Elaine Men_GB
dc.contributor.authorSweeney, Brian Jen_GB
dc.contributor.authorGalvin, Roderick Jen_GB
dc.contributor.authorMcNamara, Brianen_GB
dc.contributor.authorCassidy, Eugene Men_GB
dc.date.accessioned2012-02-03T15:17:04Z-
dc.date.available2012-02-03T15:17:04Z-
dc.date.issued2012-02-03T15:17:04Z-
dc.identifier.citationEpilepsy Behav. 2007 Aug;11(1):77-84. Epub 2007 May 22.en_GB
dc.identifier.issn1525-5050 (Print)en_GB
dc.identifier.issn1525-5050 (Linking)en_GB
dc.identifier.pmid17517535en_GB
dc.identifier.doi10.1016/j.yebeh.2007.04.003en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209280-
dc.description.abstractOBJECTIVE: The goal of this article was to describe the clinical characteristics and outcomes of patients diagnosed with psychogenic nonepileptic seizures (PNES). METHODS: We conducted a retrospective review of patients diagnosed with PNES in a 5-year period. RESULTS: Fifty patients with PNES were identified, giving an estimated incidence of 0.91/100,000 per annum. Thirty-eight were included for review, 15 of whom were male (39%). Eighteen patients had been diagnosed with epilepsy as well as PNES (47%). We demonstrated a gender difference in our patients, with males having higher seizure frequencies, more antiepileptic drug use, and a longer interval before diagnosis of PNES. Females were diagnosed with other conversion disorders more often than males. Impaired social function was observed in PNES, as was resistance to psychological interventions with a subsequent poor response to treatments. CONCLUSIONS: PNES remains a difficult condition to treat, and may affect males in proportions higher than those described in previous studies.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAnticonvulsants/*therapeutic useen_GB
dc.subject.meshConversion Disorder/complications/diagnosis/psychologyen_GB
dc.subject.mesh*Cost of Illnessen_GB
dc.subject.meshElectroencephalographyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMental Disorders/complications/diagnosis/psychologyen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPsychophysiologic Disorders/complications/*diagnosis/psychologyen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSeizures/etiology/psychology/*therapyen_GB
dc.subject.meshSeverity of Illness Indexen_GB
dc.subject.meshSex Factorsen_GB
dc.subject.meshStatistics, Nonparametricen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titleClinical characteristics and outcome of patients diagnosed with psychogenic nonepileptic seizures: a 5-year review.en_GB
dc.contributor.departmentDepartment of Neurology, Cork University Hospital, Wilton, Cork, Ireland., sosulliv@ion.ucl.ac.uken_GB
dc.identifier.journalEpilepsy & behavior : E&Ben_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.