Conversion disorder and coexisting nonepileptic seizures in patients with refractory seizures.
Nonepileptic seizures (NES) are commonly observed in patients with seizures resistant to antiepileptic drugs (AEDs). However, NES may be symptomatic of different diagnoses, in particular, conversion disorder (CD) and coexisting NES and epileptic seizures (CENES). We compared the clinical characteristics of these disorders in 219 patients with refractory seizures. The prevalence of NES was similar in children (11%) and adults (16%). In both groups, CENES represented the most frequent cause of NES (75%). In adults, CD was associated with a shorter duration of illness and normal neuroimaging and interictal EEG compared with the other groups. Patients with CD represented one-quarter of all patients with AED-resistant seizures with normal presentation during interictal investigations. In both children and adults with AED-resistant seizures, NES are frequently observed and are three times more likely to be CENES than CD.
Rotge
Jean-Yves
JY
Laboratoire Mouvement Adaptation Cognition, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5227, Université Bordeaux 2, Bordeaux, France. jean-yves.rotge@etud.u-bordeaux2.fr
Lambrecq
Virginie
V
Marchal
Cécile
C
Pedespan
Jean-Michel
JM
Burbaud
Pierre
P
Rougier
Alain
A
Michel
Véronique
V
D000293:Adolescent; D000927:Anticonvulsants / Q000009:adverse effects / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003291:Conversion Disorder / Q000150:complications* / Q000188:drug therapy; D004569:Electroencephalography / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D012189:Retrospective Studies; D012640:Seizures / Q000150:complications* / Q000188:drug therapy; D014741:Video Recording
D000927:Anticonvulsants