The history of hysteria, with special reference to pseudoseizures, is reviewed. The distinguishing features between nonepileptic and epileptic convulsions are then considered, prior to discussion of management and prognosis. The various psychopathologies associated with the diagnosis are noted, as are psychiatric conditions that may be confused with epilepsy. It is concluded that pseudoseizures represent a complex clinical problem, often requiring multidisciplinary evaluation, that can be rewarding to diagnose and treat.
本文回顾了癔症的历史,特别提及了假性癫痫发作。在讨论管理和预后之前,先考虑了非癫痫性惊厥和癫痫性惊厥之间的区别特征。文中指出了与该诊断相关的各种精神病理学情况,以及可能与癫痫混淆的精神疾病。得出的结论是,假性癫痫发作是一个复杂的临床问题,通常需要多学科评估,诊断和治疗可能会有成效。