如何在无视频脑电图的情况下运用临床判断来筛查和诊断精神性非癫痫性发作
How to Use Your Clinical Judgment to Screen for and Diagnose Psychogenic Nonepileptic Seizures without Video Electroencephalogram.
作者信息
Ali Shahid, Jabeen Shagufta, Arain Amir, Wassef Tamer, Ibrahim Ahmed
机构信息
Dr. Ali is Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Meharry Medical College, Nashville, Tennessee.
出版信息
Innov Clin Neurosci. 2011 Jan;8(1):36-42.
Abstract
In this article, the authors emphasize the value of proper understanding of the nature of psychogenic nonepileptic seizures in order to reach the right diagnosis based on clinical symptoms and signs. The authors review the literature and provide information regarding epidemiology, etiology and pathogenesis, diagnosis, and features of psychogenic nonepileptic seizures as they compare to epileptic seizures. The authors make suggestions for treatment and provide a clinical diagnostic tool that can aid clinicians in identifying a psychogenic nonepileptic seizure episode.
摘要
在本文中，作者强调了正确理解心因性非癫痫性发作本质的重要性，以便基于临床症状和体征做出正确诊断。作者回顾了文献，并提供了有关心因性非癫痫性发作的流行病学、病因和发病机制、诊断以及与癫痫性发作相比的特征等信息。作者提出了治疗建议，并提供了一种临床诊断工具，可帮助临床医生识别心因性非癫痫性发作事件。
相似文献
1
How to Use Your Clinical Judgment to Screen for and Diagnose Psychogenic Nonepileptic Seizures without Video Electroencephalogram.如何在无视频脑电图的情况下运用临床判断来筛查和诊断精神性非癫痫性发作
Innov Clin Neurosci. 2011 Jan;8(1):36-42.
2
Long-term video EEG monitoring for diagnosis of psychogenic nonepileptic seizures.长程视频脑电图监测在精神性非癇性发作诊断中的应用。
Neuropsychiatr Dis Treat. 2014 Oct 15;10:1979-86. doi: 10.2147/NDT.S49531. eCollection 2014.
3
Cognitive profiles in patients with epileptic and nonepileptic seizures evaluated using a brief cognitive assessment tool.使用简短认知评估工具评估癫痫和非癫痫发作患者的认知特征。
Epilepsy Behav. 2021 Feb;115:107643. doi: 10.1016/j.yebeh.2020.107643. Epub 2020 Dec 11.
4
Assessment of the Predictive Value of Outpatient Smartphone Videos for Diagnosis of Epileptic Seizures.评估门诊智能手机视频对癫痫发作诊断的预测价值。
JAMA Neurol. 2020 May 1;77(5):593-600. doi: 10.1001/jamaneurol.2019.4785.
5
Time-frequency mapping of the rhythmic limb movements distinguishes convulsive epileptic from psychogenic nonepileptic seizures.节律性肢体运动的时频映射可区分癫痫性抽搐和非癫痫性精神运动发作。
Epilepsia. 2013 Aug;54(8):1402-8. doi: 10.1111/epi.12207. Epub 2013 May 3.
6
Psychogenic nonepileptic seizures mimicking gelastic seizures: A description of two cases.模仿痴笑发作的精神性非癫痫性发作：两例病例描述。
Epilepsy Behav Case Rep. 2015 Aug 15;4:67-9. doi: 10.1016/j.ebcr.2015.06.003. eCollection 2015.
7
Is patient acceptance of the diagnosis of psychogenic nonepileptic seizures linked to symptomatology?患者对精神性非癫痫性发作诊断的接受程度是否与症状学有关？
J Clin Exp Neuropsychol. 2016;38(3):338-40. doi: 10.1080/13803395.2015.1114072. Epub 2015 Dec 8.
8
Psychogenic nonepileptic seizures in pediatric population: A review.儿童期心因性非癫痫性发作：综述。
Brain Behav. 2019 Dec;9(12):e01406. doi: 10.1002/brb3.1406. Epub 2019 Sep 30.
9
Psychogenic Nonepileptic Seizures versus Epileptic Seizures: An Unusual Case Report.精神性非癫痫性发作与癫痫性发作：一例罕见病例报告
Neurodiagn J. 2016;56(3):165-177. doi: 10.1080/21646821.2016.1166028.
10
Distinguishing psychogenic nonepileptic, mixed, and epileptic seizures using systemic measures and reported experiences.使用系统措施和报告的经历来区分心因性非癫痫性发作、混合性发作和癫痫性发作。
Epilepsy Behav. 2021 Mar;116:107684. doi: 10.1016/j.yebeh.2020.107684. Epub 2021 Feb 2.
引用本文的文献
1
Psychogenic Non-epileptic Seizure in a Laboring Female: A Case Report.一名分娩期女性的心因性非癫痫性发作：病例报告
Cureus. 2024 Aug 19;16(8):e67218. doi: 10.7759/cureus.67218. eCollection 2024 Aug.
2
[Hospital frequency of non-epileptic psychogenic seizures in Bamako].[巴马科非癫痫性心因性发作的医院发病率]
Pan Afr Med J. 2024 Mar 27;47:148. doi: 10.11604/pamj.2024.47.148.42711. eCollection 2024.
3
A Case Report of Psychogenic Non-epileptic Seizures in a 29-Year-Old Male With Schizophrenia.一名29岁男性精神分裂症患者的心因性非癫痫性发作病例报告。
Cureus. 2023 Apr 3;15(4):e37078. doi: 10.7759/cureus.37078. eCollection 2023 Apr.
4
Serotonin syndrome in a patient with chronic pain taking analgesic drugs mistaken for psychogenic nonepileptic seizure: a case report.一名慢性疼痛患者服用镇痛药后出现血清素综合征，被误诊为精神性非癫痫性发作：病例报告
Yeungnam Univ J Med. 2021 Oct;38(4):371-373. doi: 10.12701/yujm.2021.00948. Epub 2021 Apr 5.
5
Calibration of the Epilepsy Questionnaire for Use in a Low-Resource Setting.在资源有限的环境中使用癫痫问卷的校准。
J Environ Public Health. 2020 Aug 31;2020:5193189. doi: 10.1155/2020/5193189. eCollection 2020.
6
A Case Report of Schizoaffective Disorder with Pseudoseizures in a 42-year-old Male.一名42岁男性精神分裂症伴假性癫痫发作的病例报告。
Cureus. 2019 Jun 5;11(6):e4835. doi: 10.7759/cureus.4835.
7
Conversion Disorder- Mind versus Body: A Review.转换障碍——身心关系：综述
Innov Clin Neurosci. 2015 May-Jun;12(5-6):27-33.
8
A case of psychogenic non-epileptic seizures, unresponsive type, in pregnancy.一例妊娠期精神性非癫痫性发作（无反应型）。
Prim Care Companion CNS Disord. 2014;16(1). doi: 10.4088/PCC.13l01574.
本文引用的文献
1
Definition of the postictal state: when does it start and end?痫性发作后状态的定义：何时开始，何时结束？
Epilepsy Behav. 2010 Oct;19(2):100-4. doi: 10.1016/j.yebeh.2010.06.038. Epub 2010 Aug 7.
2
The diagnostic utility of the ictal cry.发作时哭声的诊断价值。
Epilepsy Behav. 2010 Jul;18(3):306-7. doi: 10.1016/j.yebeh.2010.04.041.
3
Stereotypy of psychogenic nonepileptic seizures: insights from video-EEG monitoring.心因性非癫痫性发作的刻板性：视频脑电图监测的启示。
Epilepsia. 2010 Jul;51(7):1159-68. doi: 10.1111/j.1528-1167.2010.02560.x. Epub 2010 Apr 2.
4
Special Sense Discharges from Organic Disease: (The Hughlings Jackson Lecture.).器质性疾病引起的特殊感觉放电：（休林斯·杰克逊讲座）
Proc R Soc Med. 1910;3(Neurol Sect):1-16. doi: 10.1177/003591571000300801.
5
Comparison of outcomes of video/EEG monitoring between patients with epileptic seizures and those with psychogenic nonepileptic seizures.癫痫发作患者与精神性非癫痫性发作患者视频/脑电图监测结果的比较。
Epilepsy Behav. 2009 Jul;15(3):303-7. doi: 10.1016/j.yebeh.2009.04.008. Epub 2009 May 7.
6
Seizure or syncope: the diagnostic value of serum creatine kinase and myoglobin levels.癫痫发作或晕厥：血清肌酸激酶和肌红蛋白水平的诊断价值。
Eur J Emerg Med. 2009 Apr;16(2):84-6. doi: 10.1097/MEJ.0b013e32830abe06.
7
Epilepsy after head injury: an overview.头部损伤后癫痫：概述
Epilepsia. 2009 Feb;50 Suppl 2:4-9. doi: 10.1111/j.1528-1167.2008.02004.x.
8
Clinical differences between patients with nonepileptic seizures who report antecedent sexual abuse and those who do not.
Epilepsia. 2008 Aug;49(8):1446-50. doi: 10.1111/j.1528-1167.2008.01611.x. Epub 2008 Apr 10.
9
Postictal transient hyperammonemia.发作后短暂性高氨血症
Am J Emerg Med. 2008 Mar;26(3):388.e1-2. doi: 10.1016/j.ajem.2007.07.031.
10
Psychogenic nonepileptic seizures: answers and questions.心因性非癫痫性发作：答案与问题
Epilepsy Behav. 2008 May;12(4):622-35. doi: 10.1016/j.yebeh.2007.11.006. Epub 2007 Dec 27.
Zotero 插件