INVESTIGADORES
D`ALESSIO Luciana
congresos y reuniones científicas
Título:
The relevance of clinical recognition and differential semiology to facilitate a quick access to VIDEO-EEG in patients with psychogenic none epileptic seizures.
Autor/es:
SCÉVOLA L, LOMBARDI N, ALONSO N, FERNANDEZ LIMA M, KORMAN G, ODDO S, KOCHEN S, D' ALESSIO L.
Lugar:
Estambul
Reunión:
Congreso; 31st International Epilepsy Congress (IEC); 2015
Institución organizadora:
ILAE (International League Against Epilepsy)
Resumen:
IntroductionPsychogenic non epileptic seizures resemble epileptic seizures and the differencial diagnosis should be made. Nevertheless there is an important delay to reach PNES diagnosis, between 7 -11 years according previous research, probably related to a difficult access to VIDEO-EEG. In this work we compared the seizure semiology in PNES and in TLE (Temporal Lobe Epilepsy) patients recorded during VEEG. The aim is to detect specific clinical sings which will allow the clinician to suspect the PNES diagnosis, and accelerate the VIDEO-EEG for diagnosis confirmation. MethodsVEEG records were reviewed and seizures were analyzed and seizures were classified according to the presence of: presence of aura, disengagement, hypermotor, automatisms e immobility. All Patients had a psychiatric evaluation (SCID I y II del DSM IV). Results were compared between PNES and TLE groups. For the statistical analysis student test and chi square were used with SPSS for windows. Results21 patients with PNES (age: 35 ±11 years) and 21 with TLE (age: 34 ±13 years) were included. Seizure?s duration was of 1,44±0,5 minutes in TLE and of 6,7±8,8 minutes in PNES (p