Sobczak Alexandria, Felber Randy, Skelly Alyson, Patel Hemangi, Falzone Samuel
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Obstetrics and Gynecology, Wellington Regional Medical Center, Wellington, USA.
Cureus. 2024 Aug 19;16(8):e67218. doi: 10.7759/cureus.67218. eCollection 2024 Aug.
Psychogenic non-epileptic seizures (PNES) are seizure-like activities characterized by motor and sensory impairments that are mild and mimic other medical conditions. They are commonly associated with psychiatric conditions and are typically a diagnosis of exclusion. These episodes are generally uncommon and rarely seen in pregnancy or labor. The treatment consists of managing the underlying cause as well as cognitive behavioral therapy. They may mimic absence seizures, which are diagnosed when there are episodes of staring present. This report presents the case of a 26-year-old laboring female who experienced multiple psychogenic seizures. The purpose of this case report is to illustrate how psychogenic non-epileptic seizures (PNES) can imitate epileptic or absence seizures and, thus, should be a diagnosis considered in females in labor.
心因性非癫痫性发作（PNES）是一种类似癫痫发作的活动，其特征为轻度的运动和感觉障碍，并类似于其他疾病状况。它们通常与精神疾病相关，通常是一种排除性诊断。这些发作一般并不常见，在妊娠或分娩期间很少见。治疗方法包括处理潜在病因以及认知行为疗法。它们可能模仿失神发作，当出现凝视发作时可诊断为失神发作。本报告介绍了一名26岁的分娩女性发生多次心因性发作的病例。本病例报告的目的是说明心因性非癫痫性发作（PNES）如何能够模仿癫痫发作或失神发作，因此在分娩女性中应考虑这一诊断。
