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心因性非癫痫性发作的处理。

Management of psychogenic nonepileptic seizures.

机构信息

Neuropsychiatry and Behavioral Neurology Division, Rhode Island Hospital, Brown University, Alpert Medical School, Providence, Rhode Island 02903, USA.

出版信息

Epilepsia. 2013 Mar;54 Suppl 1:53-67. doi: 10.1111/epi.12106.

DOI:10.1111/epi.12106
PMID:23458467
Abstract

The International League Against Epilepsy (ILAE) Neuropsychobiology Commission gave the charge to provide practical guidance for health professionals for the pharmacologic and nonpharmacologic treatment of patients with psychogenic nonepileptic seizures (PNES). Using a consensus review of the literature, an international group of clinician-researchers in epilepsy, neurology, neuropsychology, and neuropsychiatry evaluated key management approaches for PNES. These included the following: presentation of the diagnosis, early phase treatment, psychological and pharmacologic interventions, and maintenance management. The aim of this report is to provide greater clarity about the range and current evidence base for treatment for patients with PNES, with the intention of improving the care of patients with PNES and patients who develop PNES as a comorbidity of epilepsy.

摘要

国际抗癫痫联盟(ILAE)神经心理生物学委员会负责为医疗保健专业人员提供针对心因性非癫痫性发作(PNES)患者的药物和非药物治疗的实用指南。一组国际癫痫、神经病学、神经心理学和神经精神病学临床研究人员使用文献共识回顾,评估了 PNES 的关键管理方法。这些方法包括以下几个方面:诊断表现、早期治疗、心理和药物干预以及维持管理。本报告的目的是更清楚地阐明 PNES 患者治疗的范围和现有证据基础,旨在改善 PNES 患者和癫痫合并 PNES 患者的护理。

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