title: [Psychogenic non-epileptic seizures. Differential diagnosis with epilepsy, clinical presentation and therapeutic approach].
abstract: The current term psychogenic non-epileptic seizures were coined by contemporary neurologists and epileptologists, since the implementation of Video electroencephalogram, considered today the gold standard diagnostic tool. Patients with psychogenic non-epileptic seizures comprise a heterogeneous group from the psychiatric point of view. The diagnosis that describes the psychogenic non-epileptic seizures is "conversion disorder", often associated with dissociative disorder. These disorders are frequently co-morbid with depression, anxiety and posttraumatic stress disorder. Furthermore, usually coexist with personality disorders, especially borderline personality disorder, although dependence personality disorder has also been described. A history of trauma is very important in the pathogenesis and development of psychogenic non-epileptic seizures. The symptoms "core" of the psychogenic non-epileptic seizures (conversion and dissociation), some co-morbidities and personality disorders are treated with psychotherapy, while psychotropic drugs are used for co-morbidities such as depression and posttraumatic stress disorder.
authors.affiliation: Servicio de Salud Mental y Centro de Epilepsia, Hospital Ramos Mejía. laurascevola@yahoo.com.ar.
authors.forename: Laura
authors.initials: L
authors.lastname: Scévola
authors.forename: Guido
authors.initials: G
authors.lastname: Korman
authors.forename: Silvia
authors.initials: S
authors.lastname: Oddo
authors.forename: Silvia
authors.initials: S
authors.lastname: Kochen
authors.forename: Luciana
authors.initials: L
authors.lastname: D'Alessio
mesh_terms: D003937:Diagnosis, Differential; D004827:Epilepsy / Q000175:diagnosis*; D006801:Humans; D012640:Seizures / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy