Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of epilepsy and clinical neurophysiology (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492007000500008 |
Resumo: | The prevalence of epileptic seizures among patients with psychogenic nonepileptic seizures may range from five to fifty percent. Diagnosis of both conditions occurring in association may be difficult and requires both clinical skills and prolonged video-EEG monitoring. Occurrence of seemingly psychogenic events during video-EEG monitoring should be interpreted with caution, and the relative role of both psychogenic and epileptic seizures in day-to-day living should be carefully evaluated for each individual patient. Surgery is not contraindicated in this setting, however patients and family members should be educated about both conditions before surgical decision. Psychogenic seizures and other psychiatric co-morbidities should be properly assessed and treated before surgery. Diagnosis and management of postoperative events (epileptic or psychogenic) is challenging. This difficulty can be minimized by appropriate presurgical management, that includes diagnostic testing, neurologic and psychiatric treatment and patient and family counseling. |
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Journal of epilepsy and clinical neurophysiology (Online) |
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Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatmentepilepsy surgerypsychogenic nonepileptic seizurespseudoseizuresvideo-EEGtreatmentThe prevalence of epileptic seizures among patients with psychogenic nonepileptic seizures may range from five to fifty percent. Diagnosis of both conditions occurring in association may be difficult and requires both clinical skills and prolonged video-EEG monitoring. Occurrence of seemingly psychogenic events during video-EEG monitoring should be interpreted with caution, and the relative role of both psychogenic and epileptic seizures in day-to-day living should be carefully evaluated for each individual patient. Surgery is not contraindicated in this setting, however patients and family members should be educated about both conditions before surgical decision. Psychogenic seizures and other psychiatric co-morbidities should be properly assessed and treated before surgery. Diagnosis and management of postoperative events (epileptic or psychogenic) is challenging. This difficulty can be minimized by appropriate presurgical management, that includes diagnostic testing, neurologic and psychiatric treatment and patient and family counseling.Liga Brasileira de Epilepsia (LBE)2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492007000500008Journal of Epilepsy and Clinical Neurophysiology v.13 n.4 suppl.1 2007reponame:Journal of epilepsy and clinical neurophysiology (Online)instname:Liga Brasileira de Epilepsia (LBE)instacron:LBE10.1590/S1676-26492007000500008info:eu-repo/semantics/openAccessCastro,Luiz Henrique Martinseng2008-06-03T00:00:00Zoai:scielo:S1676-26492007000500008Revistahttp://epilepsia.org.br/publicacoes/ONGhttps://old.scielo.br/oai/scielo-oai.php||jecnpoa@terra.com.br1980-53651676-2649opendoar:2008-06-03T00:00Journal of epilepsy and clinical neurophysiology (Online) - Liga Brasileira de Epilepsia (LBE)false |
dc.title.none.fl_str_mv |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
title |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
spellingShingle |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment Castro,Luiz Henrique Martins epilepsy surgery psychogenic nonepileptic seizures pseudoseizures video-EEG treatment |
title_short |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
title_full |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
title_fullStr |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
title_full_unstemmed |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
title_sort |
Epilepsy surgery in patients with coexisting psychogenic nonepileptic seizures: diagnosis and treatment |
author |
Castro,Luiz Henrique Martins |
author_facet |
Castro,Luiz Henrique Martins |
author_role |
author |
dc.contributor.author.fl_str_mv |
Castro,Luiz Henrique Martins |
dc.subject.por.fl_str_mv |
epilepsy surgery psychogenic nonepileptic seizures pseudoseizures video-EEG treatment |
topic |
epilepsy surgery psychogenic nonepileptic seizures pseudoseizures video-EEG treatment |
description |
The prevalence of epileptic seizures among patients with psychogenic nonepileptic seizures may range from five to fifty percent. Diagnosis of both conditions occurring in association may be difficult and requires both clinical skills and prolonged video-EEG monitoring. Occurrence of seemingly psychogenic events during video-EEG monitoring should be interpreted with caution, and the relative role of both psychogenic and epileptic seizures in day-to-day living should be carefully evaluated for each individual patient. Surgery is not contraindicated in this setting, however patients and family members should be educated about both conditions before surgical decision. Psychogenic seizures and other psychiatric co-morbidities should be properly assessed and treated before surgery. Diagnosis and management of postoperative events (epileptic or psychogenic) is challenging. This difficulty can be minimized by appropriate presurgical management, that includes diagnostic testing, neurologic and psychiatric treatment and patient and family counseling. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492007000500008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492007000500008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1676-26492007000500008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Liga Brasileira de Epilepsia (LBE) |
publisher.none.fl_str_mv |
Liga Brasileira de Epilepsia (LBE) |
dc.source.none.fl_str_mv |
Journal of Epilepsy and Clinical Neurophysiology v.13 n.4 suppl.1 2007 reponame:Journal of epilepsy and clinical neurophysiology (Online) instname:Liga Brasileira de Epilepsia (LBE) instacron:LBE |
instname_str |
Liga Brasileira de Epilepsia (LBE) |
instacron_str |
LBE |
institution |
LBE |
reponame_str |
Journal of epilepsy and clinical neurophysiology (Online) |
collection |
Journal of epilepsy and clinical neurophysiology (Online) |
repository.name.fl_str_mv |
Journal of epilepsy and clinical neurophysiology (Online) - Liga Brasileira de Epilepsia (LBE) |
repository.mail.fl_str_mv |
||jecnpoa@terra.com.br |
_version_ |
1754734659464331264 |