INVESTIGADORES
ODDO Silvia Andrea
artículos
Título:
Psychiatric disorders in patients with psychogenic non-epileptic seizures, with and without comorbid epilepsy
Autor/es:
LUCIANA DALESSIO; BRENDA GIAGANTE; SILVIA ODDO; WALTER SILVA; PATRıCIA SOLıS; DAMIAN CONSALVO; SILVIA KOCHEN
Revista:
SEIZURE : THE JOURNAL OF THE BRITISH EPILEPSY ASSOCIATION.
Referencias:
Año: 2006 vol. 15 p. 333 - 339
ISSN:
1059-1311
Resumen:
Purpose: The aim of this study is to describe similarities and differences in epidemiological,
psychiatric and semiologic variables between patients with psychogenic
none epileptic seizures (PNES) and comorbid epilepsy (mixed PNES), and patients with
PNES without comorbid epilepsy (pure PNES).
Results: Forty-three patients with PNES diagnosed by Video-EEG were included.
Twenty-four had pure PNES, and ninteen mixed PNES. Female population, age, duration
of PNES, psychiatric institutionalization, psychopharmacotherapy, dissociative disorders
and posttraumatic stress disorder (PTSD), were significantly higher in the pure PNES
patients. Suicide attempts, antiepileptic therapy, conversive, affective and personality
disorders were frequent in both groups. In the analysis of seizure semiology, the total
lack of responsiveness was significantly higher in the mixed PNES group.
Conclusions: Pure PNES patients showed similarities and differences in the psychiatric
profile, with a greater prevalence of dissociative disorders and PTSD, factors related to
psychiatric severity.