Uhlmann Carmen, Eisele Frank, Flammer Erich
Zentrum für Psychiatrie Südwürttemberg, Abteilung Versorgungsforschung, 88212 Ravensburg-Weissenau.
Z Psychosom Med Psychother. 2011;57(3):288-94. doi: 10.13109/zptm.2011.57.3.288.
We examined the frequency of dissociative seizures in inpatients of a specialized ward for epilepsy as well as their diagnostic and therapeutic course. The basic principle of the latter is the therapeutic triad of value-free communication of the diagnosis, training of techniques for seizure interruption and problem solving of inner conflicts.
All inpatients in a department of epileptology with a diagnosis of dissociative seizures were examined retrospectively for the year 2009.
65 patients (11 %) were diagnosed with dissociative seizures, 23 patients with a primary diagnosis of epilepsy and 42 with a secondary diagnosis, epilepsy being the primary diagnosis. Symptoms occurred in the 23 patients with dissociative seizures as primary diagnosis between 2 weeks and 40 years. Possible predisposing factors and psychological comorbidities for the development of dissociative seizures were manifold. A psychopharmacological medication was established in 9 patients (39 %), and psychotherapy was recommended explicitly in all patients.
There is a great heterogeneity in patients with dissociative seizures with a sometimes long course of the disorder.
我们研究了癫痫专科病房住院患者中分离性癫痫发作的频率及其诊断和治疗过程。后者的基本原则是诊断的无价值判断性沟通、癫痫发作中断技术培训和内心冲突解决的治疗三联征。
对2009年癫痫科所有诊断为分离性癫痫发作的住院患者进行回顾性检查。
65例患者（11%）被诊断为分离性癫痫发作，23例患者原发性诊断为癫痫，42例患者继发性诊断为癫痫，癫痫为原发性诊断。23例原发性诊断为分离性癫痫发作的患者症状出现时间为2周至40年。分离性癫痫发作发展的可能诱发因素和心理合并症多种多样。9例患者（39%）采用了心理药物治疗，所有患者均明确推荐了心理治疗。
分离性癫痫发作患者存在很大的异质性，疾病过程有时较长。
