title: [Treatment of a patient with psychogenic non-epileptic seizures].
abstract: A 36-year old man is referred to a centre for special dental care due to problems with treatability in the general dental practice and a deteriorated oral state. His behaviour is unpredictable due to the possible development of sudden changes in the patient's consciousness which are accompanied by severe aggression. The patient suffers from a conversion disorder, a serious mental disorder which expresses itself in his case with the occurrence of psychogenic non-epileptic seizures. The patient fears that dental treatment will provoke a seizure and that he will react aggressively to his surroundings. He therefore requests that he undergoes dental treatment using general anaesthesia and patient fixation measures. This case study provides an example for the discussion of the problems and the rights of patients with severe mental disorders and the use of measures of physical restraint in dentistry.
authors.forename: M
authors.initials: M
authors.lastname: Ketting
authors.forename: C M H H
authors.initials: CM
authors.lastname: van Houtem
authors.forename: W G
authors.initials: WG
authors.lastname: Brands
authors.forename: A
authors.initials: A
authors.lastname: de Jongh
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D003291:Conversion Disorder / Q000150:complications*; D016854:Dental Anxiety / Q000150:complications / Q000523:psychology; D003730:Dental Care for Persons with Disabilities / Q000379:methods*; D006801:Humans; D008297:Male; D011602:Psychophysiologic Disorders / Q000150:complications*; D012640:Seizures / Q000209:etiology / Q000517:prevention & control*