Publicação
Psychogenic Nonepileptic Seizures in Adolescence: Case Report
| Resumo: | Psychogenic non-epileptic seizures are a functional neurological disorder characterized by time-limited disturbances of sensory-motor control accompanied by an alteration in consciousness, resembling epileptic seizures but with no ictal activity on electroencephalogram. Because psychogenic non-epileptic seizures mimic epileptic seizures, children and adolescents suffering from it are usually seen by neurologists. Early diagnosis and intervention with a multidisciplinary approach, including neurology and pedopsychiatry, are critical to limit unnecessary medical investigations, needless antiepileptic drugs, approach psychiatric comorbidities and improve treatment adherence and prognosis. We report the case of a 12-year-old female with several admissions to a neuropediatric inpatient unit with a diagnosis of psychogenic non-epileptic seizures, as a platform to discuss neurologic and psychiatric assessments, delivery of diagnoses, and planning of outpatient management of psychogenic non-epileptic seizures in children. |
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| Autores principais: | Cano, Cláudia Gomes |
| Outros Autores: | Serrano, Ana Catarina; Pires, Sandra; Pereira, Andreia |
| Assunto: | Case reports |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Sociedade Portuguesa de Pediatria |
| Idioma: | inglês |
| Origem: | Portuguese Journal of Pediatrics |
| Resumo: | Psychogenic non-epileptic seizures are a functional neurological disorder characterized by time-limited disturbances of sensory-motor control accompanied by an alteration in consciousness, resembling epileptic seizures but with no ictal activity on electroencephalogram. Because psychogenic non-epileptic seizures mimic epileptic seizures, children and adolescents suffering from it are usually seen by neurologists. Early diagnosis and intervention with a multidisciplinary approach, including neurology and pedopsychiatry, are critical to limit unnecessary medical investigations, needless antiepileptic drugs, approach psychiatric comorbidities and improve treatment adherence and prognosis. We report the case of a 12-year-old female with several admissions to a neuropediatric inpatient unit with a diagnosis of psychogenic non-epileptic seizures, as a platform to discuss neurologic and psychiatric assessments, delivery of diagnoses, and planning of outpatient management of psychogenic non-epileptic seizures in children. |
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