Psychogenic nonepileptic seizures (pseudoseizures)

Hema Patel, David Dunn, Joan K. Austin, Julia L. Doss, W. Curt LaFrance, Sigita Plioplys, Rochelle Caplan

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Based primarily on consensus due to lack of relevant clinical studies, it is difficult to distinguish PNES from epileptic seizures. Failure to make this distinction may result in lack of appropriate management and a decline in the quality of life for the child and family. Based on some research evidence as well as consensus, common associated stressors in children include school difficulties, family discord, and interpersonal conflicts with peers and friends, with sexual abuse being less common than in adults. Anxiety and depression commonly are associated with PNES. (2)(3)(4) PNES should be differentiated from other paroxysmal nonepileptic events. Based on strong research evidence, prolonged video-EEG monitoring is the gold standard in making a definitive diagnosis. (5)(6) Based on some research evidence as well as consensus, early diagnosis and referral to a psychiatrist or psychologist for treatment of the underlying psychopathology with individual and family therapy are the mainstay of successful management of pediatric NES due to psychological causes. Children who have PNES have a better prognosis than adults.

Original languageEnglish
JournalPediatrics in Review
Volume32
Issue number6
DOIs
StatePublished - Jun 2011

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Consensus
Seizures
Research
Psychology
Family Therapy
Sex Offenses
Psychopathology
Psychiatry
Early Diagnosis
Electroencephalography
Epilepsy
Referral and Consultation
Anxiety
Quality of Life
Depression
Pediatrics
Therapeutics
Conflict (Psychology)
Clinical Studies

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Patel, H., Dunn, D., Austin, J. K., Doss, J. L., LaFrance, W. C., Plioplys, S., & Caplan, R. (2011). Psychogenic nonepileptic seizures (pseudoseizures). Pediatrics in Review, 32(6). https://doi.org/10.1542/pir.32-6-e66

Psychogenic nonepileptic seizures (pseudoseizures). / Patel, Hema; Dunn, David; Austin, Joan K.; Doss, Julia L.; LaFrance, W. Curt; Plioplys, Sigita; Caplan, Rochelle.

In: Pediatrics in Review, Vol. 32, No. 6, 06.2011.

Research output: Contribution to journalArticle

Patel, H, Dunn, D, Austin, JK, Doss, JL, LaFrance, WC, Plioplys, S & Caplan, R 2011, 'Psychogenic nonepileptic seizures (pseudoseizures)', Pediatrics in Review, vol. 32, no. 6. https://doi.org/10.1542/pir.32-6-e66
Patel H, Dunn D, Austin JK, Doss JL, LaFrance WC, Plioplys S et al. Psychogenic nonepileptic seizures (pseudoseizures). Pediatrics in Review. 2011 Jun;32(6). https://doi.org/10.1542/pir.32-6-e66
Patel, Hema ; Dunn, David ; Austin, Joan K. ; Doss, Julia L. ; LaFrance, W. Curt ; Plioplys, Sigita ; Caplan, Rochelle. / Psychogenic nonepileptic seizures (pseudoseizures). In: Pediatrics in Review. 2011 ; Vol. 32, No. 6.
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