Predictive semiology of psychogenic non-epileptic seizures in an epilepsy monitoring unit

Duncan, Andrew; Perić, Ivana; Boston, Ray; Seneviratne, Udaya

doi:10.1007/s00415-021-10805-1

Cited by 10 publications

(5 citation statements)

References 36 publications

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“…Experts have noted the propensity of nonepileptic events to occur in the presence of an audience. Historically, locations such as the physician's office and waiting room have been places where nonepileptic events have frequently occurred 2 . The magnitude of a virtual audience has not been considered before with videos of nonepileptic events.…”

Section: Discussionmentioning

confidence: 99%

The devil is in the details: Understanding how misinformation regarding epilepsy manifests in TikTok videos

Jiang

Nordli

Galán

2023

Epileptic Disorders

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Objective: This study sought to understand the amount of misinformation surrounding epilepsy on the social media platform, TikTok.Methods: Videos from TikTok were searched using keyword "epilepsy." In all, 109 videos were categorized as personal experience videos, event videos, or educational videos. Misinformation surrounding each video was analyzed by two independent reviewers. The number of videos and views of each were tracked.Results: Event videos garnered the most attention (80% of total views). Of the event videos, 26/47 contained misinformation in the form of calling a nonepileptic event an epileptic seizure (55%). Videos of nonepileptic events labeled as epileptic seizures amassed 109 956 400 views.Significance: This novel study quantifies the amount of misinformation regarding epilepsy on the social media platform, TikTok. The results showcase that misinformation is very prevalent on the application. Most of the misinformation consists of the mislabeling of nonepileptic events as epileptic seizures. Physicians should be aware of cardinal features of nonepileptic events to better treat patients.The medical community must understand the type of misinformation people are exposed to in order to educate patients appropriately.

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Section: Discussionmentioning

confidence: 99%

The devil is in the details: Understanding how misinformation regarding epilepsy manifests in TikTok videos

Jiang

Nordli

Galán

2023

Epileptic Disorders

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“…Subjective symptomatology of non-motor focal seizures-visual symptoms like those of our patient-is always a problematic issue. VEM is accepted as the gold standard for differentiating non-epileptic from epileptic seizures but it might not be available in all neurology centers [44]. Therefore, semiological clues are extremely valuable in differential diagnosis.…”

Section: Appraisalmentioning

confidence: 99%

One Patient, Three Providers: A Multidisciplinary Approach to Managing Common Neuropsychiatric Cases

Özge,

Domaç,

Tekin

et al. 2023

JCM

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Background: Neuropsychiatric cases require a multidisciplinary approach for effective management. This paper presented case-based discussions on migraine, dementia, epilepsy, mood disorders, neuralgia, and psychosis from the perspectives of a family physician, neurologist, and psychiatrist. The goal was to highlight the importance of collaboration between healthcare providers in managing these complex cases. Methods: The paper was based on the proceedings of the Mediterranean Neuropsychiatry Symposium, where experts from family medicine, neurology, and psychiatry came together for comprehensive case-based discussions. The CARE framework (Case Report, Appraisal, Research, and Education) was developed to guide reporting and evaluation of case reports in clinical practice. Results: Six cases were presented and discussed, highlighting the importance of a multidisciplinary approach in managing neuropsychiatric cases. The cases included chronic migraine with medication overuse, memory dysfunction with language and behavioral problems, refractory epileptic seizures with subjective sensory symptoms, bipolar affective disorder with normal pressure hydrocephalus, postherpetic neuralgia in a case with bipolar affective disorder, and psychosis with recurrent attacks with the abuse of several substances. Conclusion: A biopsychosocial multidisciplinary approach is essential for managing neuropsychiatric cases effectively on behalf of the patients and public health of the country. The CARE framework can guide the reporting and evaluation of case reports in clinical practice, ensuring that patients receive comprehensive and effective care. Healthcare providers should collaborate to provide the best possible care for patients with complex and multifaceted needs.

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“…[ 6 ] Researchers have reported frustration in healthcare providers over the understanding of the symptoms, providing the right treatment and a proper liaison or referral system. [ 8 9 ] Recently Magaudda et al . [ 10 ] proposed a clinical classification of PNES as: (1) hypermotor, (2) akinetic, (3) focal motor, and (4) subjective symptoms.…”

Section: Introductionmentioning

confidence: 99%

Clinical manifestations and cultural correlates of psychogenic nonepileptic seizure symptoms: An Indian perspective

Sawant

Umate²

2022

Journal of Family Medicine and Primary Care

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A BSTRACT Introduction: Patients with psychogenic nonepileptic seizures (PNES) tend to have more frequent and disabling seizures than those which true epilepsy and are often misdiagnosed as epilepsy due to lack of clear diagnostic criteria and variations in clinical semiology. This study was an attempt to improve the understanding and type of clinical manifestations seen in patients of PNES and the cultural beliefs regarding their symptoms. Materials and Methods: In this cross-sectional observational study, 71 patients diagnosed with PNES by neurologists on the basis of their clinical presentation and a two hours normal VEEG recording were enrolled in the study after ethics approval. The clinical manifestations of PNES were recorded in detail along with details of various cultural attributions of the patients to the symptoms which were recorded in open- and closed-ended questions. Results: Clinical manifestations included verbal unresponsiveness (74%), whole body rigidity (72%), upper limb (55%) and lower limb movements (39%), vocalizations and head movements in less than 25%, and automatisms in only 6 patients. Pelvic thrusting as a manifestation was seen in only one patient. Thirty-eight patients attributed their symptoms to being possessed by God/ghost/evil spirit; nine to black magic being done on them; twenty-four patients did not relate symptoms to religious beliefs. Sixty-two patients had visited faith healers. Conclusions: This study is the first of its kind which looks at various clinical presentations of PNES patients in order to assess if there is any cultural basis for the symptoms.

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Predictive semiology of psychogenic non-epileptic seizures in an epilepsy monitoring unit

Cited by 10 publications

References 36 publications

The devil is in the details: Understanding how misinformation regarding epilepsy manifests in TikTok videos

The devil is in the details: Understanding how misinformation regarding epilepsy manifests in TikTok videos

One Patient, Three Providers: A Multidisciplinary Approach to Managing Common Neuropsychiatric Cases

Clinical manifestations and cultural correlates of psychogenic nonepileptic seizure symptoms: An Indian perspective

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