Psychogenic Nonepileptic Seizures: Diagnosis, Management, and Bioethics

K, Takasaki; Diaz-Stransky, Andrea; Miller, Geoffrey

doi:10.1016/j.pediatrneurol.2016.04.011

Cited by 16 publications

(11 citation statements)

References 43 publications

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“…Additionally, during a PNES patients are commonly aware of their surroundings during the ictal state and do not experience postictal confusion. 7 Although these characteristics are indicative of PNES, alone they are not diagnostic. The gold standard for the diagnosis of PNES is video-electroencephalography (vEEG).…”

Section: Introductionmentioning

confidence: 99%

Quantitative EEG Findings in Patients With Psychogenic Nonepileptic Seizures

et al. 2020

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Objective. Psychogenic nonepileptic seizures (PNES), is one of the clinical manifestations of conversion disorder that epileptiform discharges do not accompany. Factors capable of increasing susceptibility to these seizures have not been adequately investigated yet. This study aims to investigate the quantitative electroencephalography (QEEG) findings for PNES by evaluating the resting EEG spectral power changes during the periods between seizures. Methods. Thirty-nine patients (29 females, 10 males) diagnosed with PNES (group 1) and 47 patients (23 females, 24 males) without any psychiatric diagnosis (group 2) were included in the study. The patients underwent a psychiatric examination at their first visit, were diagnosed and their EEGs were recorded. Using fast Fourier transformation (FFT), spectral power analysis was calculated for delta (0.5-4 Hz), theta (4-8 Hz), alpha (8-13 Hz), beta (15-30 Hz), high-beta (25-30 Hz), gamma-1 (31-40 Hz), gamma-2 (41-50 Hz), and gamma (30-80 Hz) frequency bands. Results. Six separate EEG band power, namely (C3-high beta, C3-gamma, C3-gamma-1, C3-gamma-2, P3-gamma, P3 gamma-1), were found to be higher in the patients diagnosed with PNES than in the control group. Conclusion. Our findings show that PNES correlate with high-frequency oscillations on central motor and somatosensory cortices.

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Section: Introductionmentioning

confidence: 99%

Quantitative EEG Findings in Patients With Psychogenic Nonepileptic Seizures

et al. 2020

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“…You might see evidence of inconsistency, such as weakness or a change in gait, under observation, that seemingly resolves when the patient is getting on and off the exam table. 16 TABLE 2 [15][16][17][18][19][20][21][22][23][24] describes areas affected by FND, characteristics of the disorder, and related diagnostic examinations. TABLE 3 15,18,19 reviews validated special exams that can aid in making the diagnosis.…”

Section: A Coexisting Psychiatric Diagnosis Might Be Associated With Distress From the Presenting Functional Neurological Symptoms-not LImentioning

confidence: 99%

Functional neurological disorder: A practical guide to an elusive Dx

Fuentes¹

2021

The Journal of Family Practice

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“…With fewer than half of the reviewed studies including reports of theoretical underpinnings, there is much room for researchers to advance school nursing knowledge based on the foundation of theory. Beck's (1976) cognitive therapy model-based CBT intervention was the most tested intervention in school nursing mental health intervention studies and has also been the primary intervention tested in PNES psychological research (Cope, Poole, & Agrawal, 2017;Sawchuk & Buchhalter, 2015;Takasaki, Diaz, & Ma, 2016). CBT is a theory-based, scientifically supported psychological treatment for depression, anxiety disorders, severe mental illness, and PNES (American Psychological Association, 2018;Smith, 2014).…”

Section: Theoretical Traditionsmentioning

confidence: 99%

An Integrative Review of School-Based Mental Health Interventions and Implications for Psychogenic Nonepileptic Seizures

Tanner

Miller

Gaudecker

et al. 2019

The Journal of School Nursing

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Millions of students with mental health concerns attend school each day. It is unknown how many of those students experience psychogenic nonepileptic seizures (PNES); however, quality of life, academic, and mental health outcomes for students experiencing PNES can be bleak. Currently, no authors have addressed potential school nurse interventions for students with PNES. Because PNES is a mental health condition and is often influenced by underlying anxiety and/or depression, an integrative review of school nurse interventions and outcomes for students with general mental health concerns was conducted. An integrative review resulted in the identification of 13 quantitative and 2 qualitative studies that met inclusion criteria. The findings from this review suggest school nurses, following principles from the Framework for 21st Century School Nursing Practice, play an active role in mental health interventions and should be involved in replicating and testing known mental health interventions to investigate their effectiveness for students with PNES.

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Psychogenic Nonepileptic Seizures: Diagnosis, Management, and Bioethics

Cited by 16 publications

References 43 publications

Quantitative EEG Findings in Patients With Psychogenic Nonepileptic Seizures

Quantitative EEG Findings in Patients With Psychogenic Nonepileptic Seizures

Functional neurological disorder: A practical guide to an elusive Dx

An Integrative Review of School-Based Mental Health Interventions and Implications for Psychogenic Nonepileptic Seizures

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