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伊朗的精神性非癫痫性发作

Psychogenic non-epileptic seizures in Iran.

作者信息

Asadi-Pooya Ali A, Emami Yasaman, Emami Mehrdad

机构信息

Neurosciences Research Center, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, USA.

Neurosciences Research Center, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Seizure. 2014 Mar;23(3):175-7. doi: 10.1016/j.seizure.2013.11.005. Epub 2013 Nov 15.

Abstract

PURPOSE

We investigated the demographic and clinical characteristics of psychogenic non-epileptic seizures (PNES) in patients in Iran.

METHODS

In this prospective study, all patients with a clinical diagnosis of PNES (based on ictal recordings) were recruited at the outpatient epilepsy clinic at Shiraz University of Medical Sciences, from 2008 through 2013. The epileptologist interviewed all the patients. We investigated the demographic and clinical characteristics of PNES.

RESULTS

Two hundred and forty-nine patients were diagnosed as having PNES. Two hundred and eleven patients had video-EEG recordings available and included in the study. One hundred and forty-one (66.8%) were female and 70 (33.2%) were male. There were no significant differences between our patients and previous reports regarding the clinical and semiological characteristics of PNES.

CONCLUSION

Psychogenic non-epileptic seizures are relatively common at epilepsy clinics. It appears that an Islamic lifestyle (in Iran) has little influence on the clinical characteristics and manifestations of PNES, as we observed similar results as in most previous studies from other cultures.

摘要

目的

我们调查了伊朗患者中的心因性非癫痫性发作(PNES)的人口统计学和临床特征。

方法

在这项前瞻性研究中,2008年至2013年期间,设拉子医科大学门诊癫痫诊所招募了所有临床诊断为PNES(基于发作期记录)的患者。癫痫专家对所有患者进行了访谈。我们调查了PNES的人口统计学和临床特征。

结果

249例患者被诊断为患有PNES。211例患者有视频脑电图记录并纳入研究。141例(66.8%)为女性,70例(33.2%)为男性。在PNES的临床和症状学特征方面,我们的患者与先前报告之间没有显著差异。

结论

心因性非癫痫性发作在癫痫诊所较为常见。正如我们观察到的与其他文化背景下大多数先前研究相似的结果一样,看来(伊朗的)伊斯兰生活方式对PNES的临床特征和表现影响很小。

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