Newly diagnosed psychogenic nonepileptic seizures: Health care demand prior to and following diagnosis at a first seizure clinic

Razvi, Saif; Mulhern, Sharon; Duncan, Roderick

doi:10.1016/j.yebeh.2011.10.009

Cited by 77 publications

(50 citation statements)

References 15 publications

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“…Six months after the communication of the diagnosis and without further treatment, this number had dropped to 6%. Although the reduction in emergency room visits did not achieve statistical significance, the large effect seen here is in keeping with the findings of Razvi et al who reported a 94% reduction in the proportion of patients seeking emergency treatment [25]. We suspect that a larger study would demonstrate a significant effect of the communication strategy described here on emergency service utilization and provide further support for a relationship between the communication of the diagnosis of PNES and reduction in health care usage.…”

Section: Discussionsupporting

confidence: 87%

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Short-term outcome of psychogenic non-epileptic seizures after communication of the diagnosis

Mayor

Brown

Cock

et al. 2012

Epilepsy & Behavior

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Section: Discussionsupporting

confidence: 87%

“…Patients with PNES have been reported to be high users of health care services and emergency rooms [24,25]. In keeping with this, 25% of patients reported here had attended emergency rooms at least once in the last 3 months at baseline.…”

Section: Discussionsupporting

confidence: 74%

Short-term outcome of psychogenic non-epileptic seizures after communication of the diagnosis

Mayor

Brown

Cock

et al. 2012

Epilepsy & Behavior

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“…19,21,22 It may also lead to reduction in healthcare use. 23 It was therefore encouraging that so many practitioners appeared to see it as their responsibility to deliver the PNES diagnosis face to face. However, few professionals, especially in MI and LI countries, reinforced the diagnosis by writing to patients, handing out leaflets, or referring patients to information websites or patient groups.…”

Section: Communicating the Pnes Diagnosismentioning

confidence: 99%

Access to diagnostic and therapeutic facilities for psychogenic nonepileptic seizures: An international survey by the ILAE PNES Task Force

Hingray¹,

et al. 2017

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SummaryObjective: Studies from a small number of countries suggest that patients with psychogenic nonepileptic seizures (PNES) have limited access to diagnostic and treatment services. The PNES Task Force of the International League Against Epilepsy (ILAE) carried out 2 surveys to explore the diagnosis and treatment of PNES around the world. Methods: A short survey (8 questions) was sent to all 114 chapters of the ILAE.A longer survey (36 questions) was completed by healthcare professionals who see patients with seizures. Questions were separated into 5 sections: professional role, diagnostic methods, management, etiology, and access to health care. Results: Responses were received from 63 different countries. The short survey was completed by 48 ILAE chapters, and the long survey by 1098 health professionals from 28 countries. PNES were recognized as a diagnostic and therapeutic problem in all countries. Trauma and mental health issues were most commonly recognized as etiologic factors. There was a clear relationship between income and access to diagnostic tests and expertise. Psychological therapy was most commonly considered the treatment of choice. Although financial difficulties were the most commonly reported problem with service access in low-income countries, in

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“…The prognosis of PNES is worse as the delay to diagnosis is longer [22]. Once PNES is diagnosed there is a strong reduction in emergency department visits, hospital admissions, ambulance calls, magnetic resonance imaging scans, computed tomography scans and electroencephalography (EEG), implying that there are economic benefits to making a timely diagnosis [23,24]. The delay between attack onset and diagnosis in PPS has not been studied in depth but may be shorter than in PNES, as no erroneous drug treatment will be started.…”

Section: Diagnosing Pps: History Takingmentioning

confidence: 99%

Managing psychogenic pseudosyncope: Facts and experiences

2014

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Psychogenic pseudosyncope (PPS) is a common cause of apparent transient loss of consciousness (TLOC) with a dramatic impact on the quality of life. This review aims to give an overview of the definition, incidence, etiology, diagnosis, treatment, and prognosis of PPS based on a combination of literature data and personal experience. The limited literature on the subject suggests that PPS is relatively common but insufficiently recognized. PPS is probably similar to psychogenic nonepiteptic seizures (PNES), in which a long delay to diagnosis worsens the prognosis. A detailed history is of paramount importance for the diagnosis. The key feature in the history of patients with PPS is the occurrence of frequent, long attacks of apparent TLOC with closed eyes. The diagnosis is certain when a typical event is recorded during a tilt- (Cardiol J 2014; 21, 6: 658-664)

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Newly diagnosed psychogenic nonepileptic seizures: Health care demand prior to and following diagnosis at a first seizure clinic

Cited by 77 publications

References 15 publications

Short-term outcome of psychogenic non-epileptic seizures after communication of the diagnosis

Short-term outcome of psychogenic non-epileptic seizures after communication of the diagnosis

Access to diagnostic and therapeutic facilities for psychogenic nonepileptic seizures: An international survey by the ILAE PNES Task Force

Managing psychogenic pseudosyncope: Facts and experiences

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