Division of Neuropsychiatry and Behavioral Neurology, Rhode Island Hospital, 593 Eddy Street, Potter 3, Providence, RI 02903, USA.
Neurol Clin. 2011 Feb;29(1):149-62, ix. doi: 10.1016/j.ncl.2010.10.005.
Patients with psychogenic nonepileptic seizures (PNES) remain one of the most challenging patient populations. The misdiagnosis of PNES is costly to patients, the health care system, and to society. The first step in treatment is proper diagnosis. Video electroencephalography remains the gold standard for PNES diagnosis. Differentiating frontal lobe epilepsy (FLE) from PNES can be difficult; however, clinical findings and laboratory advances are emerging that more clearly establish the diagnosis of PNES. This article provides clues to differentiating FLE from PNES so that neurologists and mental health providers are better equipped to offer treatments for PNES.
心因性非癫痫性发作（PNES）患者仍然是最具挑战性的患者群体之一。PNES 的误诊对患者、医疗保健系统和社会来说都是代价高昂的。治疗的第一步是正确诊断。视频脑电图仍然是 PNES 诊断的金标准。区分额叶癫痫（FLE）和 PNES 可能很困难；然而，临床发现和实验室进展正在出现，这些进展更清楚地确定了 PNES 的诊断。本文提供了区分 FLE 和 PNES 的线索，以便神经科医生和精神卫生提供者能够更好地为 PNES 提供治疗。
