Psychogenic seizures in adults: a longitudinal analysis.
The clinical characteristics, psychosocial background, neuropsychological testing, clinical and social outcome were analysed in 93 adults with psychogenic seizures (PS). Thirteen (14%) were males and 80 (86%) were females. Mean age was 31.7 years (range 16 to 55 years). Lack of responsiveness associated with motor activity was the most common finding. Neuropsychological testing done in 46 cases revealed hysteroid traits and coping mechanisms and depression to be the most prevalent underlying problems. History of sexual abuse was evident in 10 (10.7%) cases. Social impact analysis revealed that of 62 patients who were working at the onset of PS, 34 were not working at the time of the diagnosis of PS. In 25 cases, PS were the reason for not working. After a mean follow-up of 60.7 months done in 63 patients, 16 (25.4%) patients were seizure-free. There were no obvious significant predictors of poor prognosis.
Lancman
M E
ME
Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC.
Brotherton
T A
TA
Asconapé
J J
JJ
Penry
J K
JK
D000293:Adolescent; D000328:Adult; D000927:Anticonvulsants / Q000009:adverse effects / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004569:Electroencephalography / Q000187:drug effects; D004827:Epilepsy / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011446:Prospective Studies; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D012640:Seizures / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D013315:Stress, Psychological / Q000150:complications
D000927:Anticonvulsants