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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Main Authors: Neera Chaudhry, Kamakshi Dhamija, Vinod Puri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:MAMC Journal of Medical Sciences
Subjects:
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.
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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
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