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简要报告:自闭症或智力残疾的儿科患者中的精神性非癲痫性发作。

Brief Report: Psychogenic Nonepileptic Events in Pediatric Patients with Autism or Intellectual Disability.

机构信息

Department of Neurology, Dell Medical School, 1301 Barbara Jordan Blvd., Ste 200-G, Austin, TX, 78723, USA.

Division of Child Neurology, Nationwide Children's Hospital, Columbus, OH, USA.

出版信息

J Autism Dev Disord. 2023 Jul;53(7):2928-2932. doi: 10.1007/s10803-022-05479-1. Epub 2022 Feb 25.

DOI:10.1007/s10803-022-05479-1
PMID:35212867
Abstract

This is a retrospective case series of pediatric patients referred to the psychogenic nonepileptic events clinic (PNEE) who had comorbid diagnoses of autism spectrum disorder (ASD) or intellectual disability (ID). We describe 15 patients, nine with ASD and six with ID who had a telephone visit follow-up at 12 months. There were higher rates of male gender (40%) and comorbid epilepsy (53%) compared to the larger PNEE cohort. Eleven patients were available for follow-up and ten patients had improvement in events or were event-free. We report that patients with ASD or ID can develop PNEE and experience improvement from events.

摘要

这是一项回顾性病例系列研究,纳入了被转诊至心因性非癫痫性发作(PNEE)诊所的儿科患者,这些患者伴有自闭症谱系障碍(ASD)或智力障碍(ID)共病诊断。我们描述了 15 名患者,其中 9 名患有 ASD,6 名患有 ID,并在 12 个月时进行了电话随访。与更大的 PNEE 队列相比,这些患者中男性(40%)和共患癫痫(53%)的比例更高。11 名患者可进行随访,10 名患者的发作得到改善或无发作。我们报告称,ASD 或 ID 患者可出现 PNEE 并从发作中得到改善。

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本文引用的文献

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Outcomes of children and adolescents 1 year after being seen in a multidisciplinary psychogenic nonepileptic seizures clinic.儿童和青少年在多学科心因性非癫痫性发作诊所就诊1年后的结果。
Epilepsia. 2021 Oct;62(10):2528-2538. doi: 10.1111/epi.17031. Epub 2021 Aug 2.
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Myths and truths about pediatric psychogenic nonepileptic seizures.关于儿童心因性非癫痫性发作的误解与真相
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Outcomes in Children and Adolescents With Psychogenic Nonepileptic Events Using a Multidisciplinary Clinic Approach.
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Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder.心因性非癫痫性发作作为与未确诊的自闭症谱系障碍相关的心理困扰的一种表现。
Neuropsychiatr Dis Treat. 2016 Jan 18;12:185-9. doi: 10.2147/NDT.S98698. eCollection 2016.
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Autism Spectrum Disorder and Epilepsy: Two Sides of the Same Coin?自闭症谱系障碍与癫痫:同一枚硬币的两面?
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