Department of Neurology, Emory Epilepsy Program, Atlanta, GA, USA.
Neuropsychiatr Dis Treat. 2014 Oct 15;10:1979-86. doi: 10.2147/NDT.S49531. eCollection 2014.
Psychogenic nonepileptic seizures have long been known by many names. A short list includes hysteroepilepsy, hysterical seizures, pseudoseizures, nonepileptic events, nonepileptic spells, nonepileptic seizures, and psychogenic nonepileptic attacks. These events are typically misdiagnosed for years and are frequently treated as electrographic seizures and epilepsy. These patients experience all the side effects of antiepileptic drugs and none of the benefits. Video electroencephalogram (EEG) monitoring is the gold standard diagnostic test that can make a clear distinction between psychogenic nonepileptic seizures and epilepsy. Video EEG allows us to correctly characterize the patient's events and therefore properly diagnose and direct management. As a result, years of faulty management and wasted health care dollars can be avoided.
心因性非癫痫性发作有许多别称,以下是其中一部分:癔症性癫痫、癔症性发作、假性发作、非癫痫性发作、非癫痫性发作、非癫痫性癫痫发作和心因性非癫痫性发作。这些发作通常会被误诊多年,且经常被误诊为癫痫发作和癫痫。这些患者会出现抗癫痫药物的所有副作用,但没有任何益处。视频脑电图(EEG)监测是明确区分心因性非癫痫性发作和癫痫的金标准诊断测试。视频脑电图可帮助我们正确描述患者的发作情况,从而正确诊断并指导治疗。因此,可以避免多年的错误治疗和医疗资源浪费。