Psychogenic Nonepileptic Seizures after Head Injury: A Case Report

Psychogenic nonepileptic seizures (PNESs) are diagnosed when disruptive changes in behaviour, thinking, or emotion resemble epileptic seizures (ESs), but no paroxysmal discharges are seen on electroencephalogram (EEG) and do not originate from another medical illness. The gold standard for PNES diag...

Full description

Saved in:
Bibliographic Details
Main Authors: Laura Scévola, Luciana D'Alessio, Dario Saferstein, Estela Centurión, Damián Consalvo, Silvia Kochen
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/712813
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849403415320330240
author Laura Scévola
Luciana D'Alessio
Dario Saferstein
Estela Centurión
Damián Consalvo
Silvia Kochen
author_facet Laura Scévola
Luciana D'Alessio
Dario Saferstein
Estela Centurión
Damián Consalvo
Silvia Kochen
author_sort Laura Scévola
collection DOAJ
description Psychogenic nonepileptic seizures (PNESs) are diagnosed when disruptive changes in behaviour, thinking, or emotion resemble epileptic seizures (ESs), but no paroxysmal discharges are seen on electroencephalogram (EEG) and do not originate from another medical illness. The gold standard for PNES diagnosis is video electroencephalogram (Video-EEG). PNESs are defined by modern psychiatry as conversion and dissociative disorders but these disorders may coexist with many others psychiatric disorders, including depression, posttraumatic stress disorder, and personality disorders. It is well known that epileptic seizures are a frequent and well-studied complication of traumatic head injury (THI). However, THI may also generate psychic symptoms including PNES. In this paper we describe a patient who developed PNES after THI in a bus accident and received a diagnosis of refractory epilepsy for 24 years until she underwent Video-EEG.
format Article
id doaj-art-8efbe5f1fe2a48849161dd80a844553b
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2009-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-8efbe5f1fe2a48849161dd80a844553b2025-08-20T03:37:16ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/712813712813Psychogenic Nonepileptic Seizures after Head Injury: A Case ReportLaura Scévola0Luciana D'Alessio1Dario Saferstein2Estela Centurión3Damián Consalvo4Silvia Kochen5Psychiatry Division, Ramos Mejía Hospital, Buenos Aires 1405, ArgentinaPsychiatry Division, Ramos Mejía Hospital, Buenos Aires 1405, ArgentinaEpilepsy Center, Ramos Mejía Hospital, Buenos Aires, ArgentinaEpilepsy Center, Ramos Mejía Hospital, Buenos Aires, ArgentinaEpilepsy Center, Ramos Mejía Hospital, Buenos Aires, ArgentinaEpilepsy Center, Ramos Mejía Hospital, Buenos Aires, ArgentinaPsychogenic nonepileptic seizures (PNESs) are diagnosed when disruptive changes in behaviour, thinking, or emotion resemble epileptic seizures (ESs), but no paroxysmal discharges are seen on electroencephalogram (EEG) and do not originate from another medical illness. The gold standard for PNES diagnosis is video electroencephalogram (Video-EEG). PNESs are defined by modern psychiatry as conversion and dissociative disorders but these disorders may coexist with many others psychiatric disorders, including depression, posttraumatic stress disorder, and personality disorders. It is well known that epileptic seizures are a frequent and well-studied complication of traumatic head injury (THI). However, THI may also generate psychic symptoms including PNES. In this paper we describe a patient who developed PNES after THI in a bus accident and received a diagnosis of refractory epilepsy for 24 years until she underwent Video-EEG.http://dx.doi.org/10.1155/2009/712813
spellingShingle Laura Scévola
Luciana D'Alessio
Dario Saferstein
Estela Centurión
Damián Consalvo
Silvia Kochen
Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
Case Reports in Medicine
title Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
title_full Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
title_fullStr Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
title_full_unstemmed Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
title_short Psychogenic Nonepileptic Seizures after Head Injury: A Case Report
title_sort psychogenic nonepileptic seizures after head injury a case report
url http://dx.doi.org/10.1155/2009/712813
work_keys_str_mv AT laurascevola psychogenicnonepilepticseizuresafterheadinjuryacasereport
AT lucianadalessio psychogenicnonepilepticseizuresafterheadinjuryacasereport
AT dariosaferstein psychogenicnonepilepticseizuresafterheadinjuryacasereport
AT estelacenturion psychogenicnonepilepticseizuresafterheadinjuryacasereport
AT damianconsalvo psychogenicnonepilepticseizuresafterheadinjuryacasereport
AT silviakochen psychogenicnonepilepticseizuresafterheadinjuryacasereport