Psychogenic nonepileptic seizures (PNES): A review
Psychogenic nonepileptic seizures (PNES) are observable abrupt paroxysmal changes in consciousness or behaviour that present similar to epileptic seizures but are not accompanied by the electrophysiological changes associated with epilepsy and there is a strong suspicion or positive evidence for exi...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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Series: | MAMC Journal of Medical Sciences |
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Online Access: | http://www.mamcjms.in/article.asp?issn=2394-7438;year=2019;volume=5;issue=1;spage=1;epage=7;aulast=Chaudhry |
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author | Neera Chaudhry Kamakshi Dhamija Vinod Puri |
author_facet | Neera Chaudhry Kamakshi Dhamija Vinod Puri |
author_sort | Neera Chaudhry |
collection | DOAJ |
description | Psychogenic nonepileptic seizures (PNES) are observable abrupt paroxysmal changes in consciousness or behaviour that present similar to epileptic seizures but are not accompanied by the electrophysiological changes associated with epilepsy and there is a strong suspicion or positive evidence for existence of a psychogenic cause. There is no single feature that absolutely distinguishes true epileptic events from psychogenic nonepileptic seizures and hence there is considerable diagnostic uncertainty for the condition. This is well evidenced by the fact that there is an average delay of approximately 7 years before the right diagnosis of ‘psychogenic seizures’ is achieved. Hence, this leads to an enormous social and economic burden on the society with costs incurred upon ‘PNES’ approximating that of refractory epilepsy group. This review focusses on the salient clinical pointers to the condition along with possible diagnostic and treatment strategies. |
first_indexed | 2024-04-12T13:51:19Z |
format | Article |
id | doaj.art-98d4674d50174ba783267b13f6b873c4 |
institution | Directory Open Access Journal |
issn | 2394-7438 |
language | English |
last_indexed | 2024-04-12T13:51:19Z |
publishDate | 2019-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | MAMC Journal of Medical Sciences |
spelling | doaj.art-98d4674d50174ba783267b13f6b873c42022-12-22T03:30:31ZengWolters Kluwer Medknow PublicationsMAMC Journal of Medical Sciences2394-74382019-01-01511710.4103/mamcjms.mamcjms_57_18Psychogenic nonepileptic seizures (PNES): A reviewNeera ChaudhryKamakshi DhamijaVinod PuriPsychogenic nonepileptic seizures (PNES) are observable abrupt paroxysmal changes in consciousness or behaviour that present similar to epileptic seizures but are not accompanied by the electrophysiological changes associated with epilepsy and there is a strong suspicion or positive evidence for existence of a psychogenic cause. There is no single feature that absolutely distinguishes true epileptic events from psychogenic nonepileptic seizures and hence there is considerable diagnostic uncertainty for the condition. This is well evidenced by the fact that there is an average delay of approximately 7 years before the right diagnosis of ‘psychogenic seizures’ is achieved. Hence, this leads to an enormous social and economic burden on the society with costs incurred upon ‘PNES’ approximating that of refractory epilepsy group. This review focusses on the salient clinical pointers to the condition along with possible diagnostic and treatment strategies.http://www.mamcjms.in/article.asp?issn=2394-7438;year=2019;volume=5;issue=1;spage=1;epage=7;aulast=ChaudhryPsychogenic nonepileptic seizurespsychogenic seizuresPNE |
spellingShingle | Neera Chaudhry Kamakshi Dhamija Vinod Puri Psychogenic nonepileptic seizures (PNES): A review MAMC Journal of Medical Sciences Psychogenic nonepileptic seizures psychogenic seizures PNE |
title | Psychogenic nonepileptic seizures (PNES): A review |
title_full | Psychogenic nonepileptic seizures (PNES): A review |
title_fullStr | Psychogenic nonepileptic seizures (PNES): A review |
title_full_unstemmed | Psychogenic nonepileptic seizures (PNES): A review |
title_short | Psychogenic nonepileptic seizures (PNES): A review |
title_sort | psychogenic nonepileptic seizures pnes a review |
topic | Psychogenic nonepileptic seizures psychogenic seizures PNE |
url | http://www.mamcjms.in/article.asp?issn=2394-7438;year=2019;volume=5;issue=1;spage=1;epage=7;aulast=Chaudhry |
work_keys_str_mv | AT neerachaudhry psychogenicnonepilepticseizurespnesareview AT kamakshidhamija psychogenicnonepilepticseizurespnesareview AT vinodpuri psychogenicnonepilepticseizurespnesareview |