Psychogenic nonepileptic seizures

Richard J. Brown; Tanvir U. Syed; Selim Benbadis; W. Curt LaFrance; Markus Reuber

doi:10.1016/j.yebeh.2011.02.016

Psychogenic nonepileptic seizures

Richard J. Brown, Tanvir U. Syed, Selim Benbadis, W. Curt LaFrance, Markus Reuber

Research output: Contribution to journal › Special issue › peer-review

Abstract

This review by three established clinicians/researchers and two 'rising stars' in the field of psychogenic nonepileptic seizures (PNES) describes recent progress in this area and highlights priorities for future research. Empirically testable models of PNES are emerging but many questions about the aetiology of PNES remain unanswered at present. Video-EEG has made it possible for doctors to make secured diagnoses of PNES in more cases. However, unacceptable diagnostic delays and misdiagnoses are still common. Non-specific EEG changes are often misinterpreted as evidence of epilepsy. A better understanding of the symptomatology of PNES may allow earlier and more accurate diagnoses using self-report questionnaires. The communication of the diagnosis and the engagement of patient in psychological treatment can be difficult. A recent pilot RCT has demonstrated the effectiveness of a psychological treatment in reducing seizures in the short term, but longer-term effectiveness is yet to be demonstrated. © 2011 Elsevier Inc.

Original language	English
Pages (from-to)	85-93
Number of pages	8
Journal	Epilepsy and Behavior
Volume	22
Issue number	1
DOIs	https://doi.org/10.1016/j.yebeh.2011.02.016
Publication status	Published - Sept 2011

Keywords

Conversion disorder
Dissociative disorder
Pseudoseizures
Psychogenic nonepileptic seizures

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title = "Psychogenic nonepileptic seizures",

abstract = "This review by three established clinicians/researchers and two 'rising stars' in the field of psychogenic nonepileptic seizures (PNES) describes recent progress in this area and highlights priorities for future research. Empirically testable models of PNES are emerging but many questions about the aetiology of PNES remain unanswered at present. Video-EEG has made it possible for doctors to make secured diagnoses of PNES in more cases. However, unacceptable diagnostic delays and misdiagnoses are still common. Non-specific EEG changes are often misinterpreted as evidence of epilepsy. A better understanding of the symptomatology of PNES may allow earlier and more accurate diagnoses using self-report questionnaires. The communication of the diagnosis and the engagement of patient in psychological treatment can be difficult. A recent pilot RCT has demonstrated the effectiveness of a psychological treatment in reducing seizures in the short term, but longer-term effectiveness is yet to be demonstrated. {\textcopyright} 2011 Elsevier Inc.",

keywords = "Conversion disorder, Dissociative disorder, Pseudoseizures, Psychogenic nonepileptic seizures",

author = "Brown, {Richard J.} and Syed, {Tanvir U.} and Selim Benbadis and LaFrance, {W. Curt} and Markus Reuber",

year = "2011",

month = sep,

doi = "10.1016/j.yebeh.2011.02.016",

language = "English",

volume = "22",

pages = "85--93",

journal = "Epilepsy and Behavior",

issn = "1525-5050",

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number = "1",

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TY - JOUR

T1 - Psychogenic nonepileptic seizures

AU - Brown, Richard J.

AU - Syed, Tanvir U.

AU - Benbadis, Selim

AU - LaFrance, W. Curt

AU - Reuber, Markus

PY - 2011/9

Y1 - 2011/9

N2 - This review by three established clinicians/researchers and two 'rising stars' in the field of psychogenic nonepileptic seizures (PNES) describes recent progress in this area and highlights priorities for future research. Empirically testable models of PNES are emerging but many questions about the aetiology of PNES remain unanswered at present. Video-EEG has made it possible for doctors to make secured diagnoses of PNES in more cases. However, unacceptable diagnostic delays and misdiagnoses are still common. Non-specific EEG changes are often misinterpreted as evidence of epilepsy. A better understanding of the symptomatology of PNES may allow earlier and more accurate diagnoses using self-report questionnaires. The communication of the diagnosis and the engagement of patient in psychological treatment can be difficult. A recent pilot RCT has demonstrated the effectiveness of a psychological treatment in reducing seizures in the short term, but longer-term effectiveness is yet to be demonstrated. © 2011 Elsevier Inc.

AB - This review by three established clinicians/researchers and two 'rising stars' in the field of psychogenic nonepileptic seizures (PNES) describes recent progress in this area and highlights priorities for future research. Empirically testable models of PNES are emerging but many questions about the aetiology of PNES remain unanswered at present. Video-EEG has made it possible for doctors to make secured diagnoses of PNES in more cases. However, unacceptable diagnostic delays and misdiagnoses are still common. Non-specific EEG changes are often misinterpreted as evidence of epilepsy. A better understanding of the symptomatology of PNES may allow earlier and more accurate diagnoses using self-report questionnaires. The communication of the diagnosis and the engagement of patient in psychological treatment can be difficult. A recent pilot RCT has demonstrated the effectiveness of a psychological treatment in reducing seizures in the short term, but longer-term effectiveness is yet to be demonstrated. © 2011 Elsevier Inc.

KW - Conversion disorder

KW - Dissociative disorder

KW - Pseudoseizures

KW - Psychogenic nonepileptic seizures

U2 - 10.1016/j.yebeh.2011.02.016

DO - 10.1016/j.yebeh.2011.02.016

M3 - Special issue

SN - 1525-5050

VL - 22

SP - 85

EP - 93

JO - Epilepsy and Behavior

JF - Epilepsy and Behavior

IS - 1

ER -

Psychogenic nonepileptic seizures

Abstract

Keywords

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