Dissoci ative Seizures

Česká verzia

Authors: J. Praško ^{1 3}; P. Pastucha ¹; M. Raszka ^2,3; K. Látalová ¹; E. Herman ^{4 6}; J. Hovorka ^6,7; P. Do ubek ⁵
Authors place of work: Klinika psychi atrie LF UP a FN Olomouc, 2Centrum neuropsychi atrických studií, Praha, 3Psychiatrické centrum Praha, 4Psychiatrická ambulance Praha, 5Psychiatrická klinika 1. LF UK a VFN v Praze, 6Neurologické oddělení, epileptologické a neuropsychiatrick ¹
Published in the journal: Cesk Slov Neurol N 2009; 72/105(5): 429-436
Category: Review Article

Summary

Dissoci ative seizures are paroxysmal episodes of disturbed behavi or that be ar some resemblance to epileptic seizures but are not attributable to any organic disturbance, including epilepsy. Dissoci ative seizures are common, acco unting for up to 20% of pati ents tho ught to have medically intractable epilepsy. In many cases, the correct di agnosis is missed for several ye ars, during which time pati ents are tre ated with anti epileptic drugs witho ut any therape utic effects. Polypharmacy is common, and the disorder is often suspected only after successive tri als of anti epileptic medicati on prove ineffective. The disorder carri es a po or prognosis: the majority of pati ents remains o ut of employment and have a po or soci al o utcome even if seizures become less frequent or resolve. There have been several retrospective case seri es and a number of a uthors have o utlined general principles of management. There was published an open, prospective successful tri al of cognitive behavior therapy in pati ents with dissoci ative seizures attending a speci alist ne uropsychi atry service.

Key words:
dissoci ative seizures – di agnosis – differenti al di agnosis – case management – cognitive behavi or therapy

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