[Nonepileptic seizures of psychogenic origin in children: analysis and characteristics of risk factors, clinical symptoms and significance of diagnostic investigation].
Nonepileptic seizures of psychogenic origin (NESP) belong currently to dissociation disorders. Their causes and precise outline of diagnostics, therapy and prophylaxis procedures remains still difficult. The authors investigated the group that consisted of 25 patients with the above described type of seizures. Prospective examinations were conducted. In each patient detailed analysis of risk factors and clinical semiology before and after hospital admission was performed. Moreover brain MRI, psychological and psychiatric examinations were made. Among patients with NESP, girls prevailed (88%). Most important stressogenic factor was trouble with peer relationships. Clinical manifestation was diverse, mostly the attacks were similar to epileptic, simple, partial seizures. The final diagnosis depended on results of video examinations (lack of clinical-bioelectrical correlation or lack of bioelectrical activity disturbances before or after attack) and results of psychological and psychiatric consultation.
Marszał
Elzbieta
E
Klinika Neurologii Wieku Rozwojowego SAM 40-752 Katowice, ul. Medyków 16.
Emich-Widera
Ewa
E
Szwed-Białozyt
Barbara
B
Bibrzycka
Aleksandra
A
Bałdys
Anna
A
D000293:Adolescent; D002648:Child; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D015995:Prevalence; D012307:Risk Factors; D012640:Seizures / Q000453:epidemiology / Q000209:etiology*; D012720:Severity of Illness Index