Academic Neurology Unit, University of Sheffield, Sheffield, UK.
Epilepsy Behav. 2011 Aug;21(4):402-6. doi: 10.1016/j.yebeh.2011.05.019. Epub 2011 Jul 12.
Nonepileptic attack disorder (NEAD) is one of the commonest differential diagnoses of epilepsy. A number of approaches to the communication of this diagnosis and its treatment have been described; however, there are currently no evidence-based management pathways. This study captures the care currently received by patients with NEAD in the United Kingdom and Ireland. The findings are based on 130 responses to an Internet survey of clinicians from the United Kingdom and the Republic of Ireland (65.6% neurologists). The responses indicate that there is much variability in the approaches to diagnosis of NEAS and communication of the diagnosis to the patient. Although there is good access to diagnostic equipment, 30% of diagnoses are made on clinical grounds alone. While 93% of respondents endorsed psychological treatment as the treatment of choice, only 35% were able to refer all of their patients for this treatment and 15% were unable to refer any patients.
非癫痫性发作障碍（NEAD）是癫痫最常见的鉴别诊断之一。已经描述了许多针对该诊断及其治疗的沟通方法；然而，目前尚无循证管理途径。本研究记录了英国和爱尔兰的 NEAD 患者目前所接受的治疗。该研究结果基于对英国和爱尔兰临床医生的互联网调查的 130 个回复（65.6%为神经科医生）。回复表明，在 NEAS 的诊断方法和向患者传达诊断方面存在很大的差异。尽管有很好的诊断设备可利用，但 30%的诊断仅基于临床依据。虽然 93%的受访者赞成将心理治疗作为首选治疗方法，但只有 35%的人能够为所有患者转介这种治疗，而 15%的人无法为任何患者转介。
