Aupy Jerome, Hingray Coraline
Centre hospitalier universitaire de Bordeaux, pôle de neurosciences cliniques, Bordeaux, France.
Centre hospitalier universitaire de Nancy, unité d'épileptologie, Nancy, France.
Rev Prat. 2019 Feb;69(2):214-218.
Non-epileptic psychogenic seizures: a renewal approach of conversion disorders. Psychogenic non-epileptic seizures (PNES) are characterized by a paroxystic modification of behaviour or consciousness that resemble to an epileptic seizure. They are classified as dissociative or somatoform disorders. Their diagnostic remains difficult and the recording of a typical event through video-EEG is the gold standard. PNES are a symptom of the underlying disease related to disturbances in the management and regulation of emotions. Thus, the predisposing, the precipitating and the perpetuating factors must be evaluated carefully. A multidisciplinary diagnosis announcement is an essential and effective therapeutic step and treatment has to be adapted case by case.
