Antoniuk Sergio A
Departamento de Pediatria, Centro de Neuropediatría, Hospital de Clínicas, Universidad Federal de Paraná, Curitiba, Paraná, Brasil. E-mail:
Medicina (B Aires). 2013;73 Suppl 1:71-6.
Epilepsy affects 0.5% of the population. A 25% of the patients referred to epilepsy services have paroxysmal clinical events associated with motor activities, sensory or emotional alterations, or consciousness impairment, which are not epileptic seizures. The non-epileptic seizures can be classified as psychogenic, which do not have a medical cause, and are associated with primary or secondary psychological problems, and as of physiological origin. The non-epileptic events are manifested by paroxysmal or repetitive behaviors that might be confused with epileptic seizures. The diagnosis is very important in order to avoid unnecessary tests and iatrogenic therapies. This study will present clinical cases and review of the main non-epileptic physiological events (sleep disorders, movement disorders, hypoxic-ischemic phenomena) and psychogenic events (somatoform disorders, fictitious disorders and anxiety disorder).
癫痫影响着0.5%的人口。转诊至癫痫专科的患者中,有25%会出现与运动活动、感觉或情绪改变或意识障碍相关的阵发性临床事件,但这些并非癫痫发作。非癫痫性发作可分为心因性发作,即没有医学原因且与原发性或继发性心理问题相关,以及生理性发作。非癫痫性事件表现为可能与癫痫发作相混淆的阵发性或重复性行为。为避免不必要的检查和医源性治疗,诊断非常重要。本研究将展示临床病例,并综述主要的非癫痫生理性事件(睡眠障碍、运动障碍、缺氧缺血现象)和心因性事件(躯体形式障碍、虚构障碍和焦虑症)。