Kuyk J, Jacobs L D, Aldenkamp A P, Meinardi H, Spinhoven P, van Dyck R
Instituut voor Epilepsiebestrijding, Heemstede, The Netherlands.
Seizure. 1995 Jun;4(2):123-8. doi: 10.1016/s1059-1311(95)80091-3.
In this pilot study hypnosis was used in an attempt to provide evidence of a psychogenic component of pseudo-epileptic seizures. The criterion for psychogenesis was the reversal of the amnesia, which is often present in epileptic- and pseudo-epileptic seizures. The technique has been validated by a semi-blind referral of cases for analysis after the clinician had been able to make a firm diagnosis based on electro-encephalic corroboration of the nature of the seizure. In eight out of nine patients (of the original 13 patients, three patients dropped out and one patient was not evaluable), the experimental diagnosis corresponded with the clinical diagnosis. As pseudo-epileptic seizures can be characterized by their dissociative nature, a reasonable hypothesis is that patients with pseudo-epileptic seizures are more responsive to hypnosis than patients with epileptic seizures. Measurements of hypnotizability among seven patients with epileptic seizures and six patients with pseudo-epileptic seizures supported this supposition.
在这项初步研究中，采用催眠术旨在为假性癫痫发作的心理成因提供证据。心理成因的标准是失忆症状的逆转，这在癫痫发作和假性癫痫发作中通常都会出现。该技术已通过半盲转诊病例分析得到验证，即临床医生在基于脑电图对发作性质的证实做出明确诊断后，将病例转诊进行分析。在最初的13名患者中，有3名退出，1名无法评估，9名患者中有8名，实验诊断与临床诊断相符。由于假性癫痫发作具有分离性特征，一个合理的假设是，与癫痫发作患者相比，假性癫痫发作患者对催眠更敏感。对7名癫痫发作患者和6名假性癫痫发作患者的催眠易感性测量结果支持了这一假设。
