The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit
ABSTRACT Background: It has been reported that 10 to 30% of patients sent to epilepsy centers with a diagnosis of refractory epilepsy are diagnosed with psychogenic non-epileptic seizure (PNES). A wide variety of provocative methods are used to assist PNES diagnosis. Objective: To investigate the...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações
2021-11-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021001100957&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850174113323155456 |
|---|---|
| author | İbrahim Bora Aylin Bican Demir Dursun Ceylan |
| author_facet | İbrahim Bora Aylin Bican Demir Dursun Ceylan |
| author_sort | İbrahim Bora |
| collection | DOAJ |
| description | ABSTRACT Background: It has been reported that 10 to 30% of patients sent to epilepsy centers with a diagnosis of refractory epilepsy are diagnosed with psychogenic non-epileptic seizure (PNES). A wide variety of provocative methods are used to assist PNES diagnosis. Objective: To investigate the effect of seizure induction on the diagnosis and prognosis of PNES. Methods: We retrospectively examined 91 patients with PNES complaints in our video-EEG laboratory. Intravenous saline was administered to all patients for induction of seizures. Results: Saline injection was performed in 91 patients referred to our EEG lab with PNES initial diagnosis, 57 of whom were female and 34 male. Saline injection triggered an attack in 82 patients (90%). Conclusions: In this study we have concluded that provocative methods are practical, cheap and, most of all, effective for patient diagnosis. In clinical practice, explaining the diagnosis is the first and most important step of the treatment, and careful patient-doctor communication has a positive impact on patient prognosis. |
| format | Article |
| id | doaj-art-d21b3f6132764b029ededb007219ea73 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-d21b3f6132764b029ededb007219ea732025-08-20T02:19:42ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-11-01791195796210.1590/0004-282x-anp-2020-0546The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unitİbrahim Borahttps://orcid.org/0000-0002-9435-6037Aylin Bican Demirhttps://orcid.org/0000-0001-6739-8605Dursun Ceylanhttps://orcid.org/0000-0001-5110-1248ABSTRACT Background: It has been reported that 10 to 30% of patients sent to epilepsy centers with a diagnosis of refractory epilepsy are diagnosed with psychogenic non-epileptic seizure (PNES). A wide variety of provocative methods are used to assist PNES diagnosis. Objective: To investigate the effect of seizure induction on the diagnosis and prognosis of PNES. Methods: We retrospectively examined 91 patients with PNES complaints in our video-EEG laboratory. Intravenous saline was administered to all patients for induction of seizures. Results: Saline injection was performed in 91 patients referred to our EEG lab with PNES initial diagnosis, 57 of whom were female and 34 male. Saline injection triggered an attack in 82 patients (90%). Conclusions: In this study we have concluded that provocative methods are practical, cheap and, most of all, effective for patient diagnosis. In clinical practice, explaining the diagnosis is the first and most important step of the treatment, and careful patient-doctor communication has a positive impact on patient prognosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021001100957&tlng=enSeizuresSaline SolutionElectrocorticography |
| spellingShingle | İbrahim Bora Aylin Bican Demir Dursun Ceylan The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit Arquivos de Neuro-Psiquiatria Seizures Saline Solution Electrocorticography |
| title | The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit |
| title_full | The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit |
| title_fullStr | The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit |
| title_full_unstemmed | The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit |
| title_short | The evaluation of psychogenic non-epileptic seizures (PNES) cases with saline injection method in video-EEG monitorization unit |
| title_sort | evaluation of psychogenic non epileptic seizures pnes cases with saline injection method in video eeg monitorization unit |
| topic | Seizures Saline Solution Electrocorticography |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021001100957&tlng=en |
| work_keys_str_mv | AT ibrahimbora theevaluationofpsychogenicnonepilepticseizurespnescaseswithsalineinjectionmethodinvideoeegmonitorizationunit AT aylinbicandemir theevaluationofpsychogenicnonepilepticseizurespnescaseswithsalineinjectionmethodinvideoeegmonitorizationunit AT dursunceylan theevaluationofpsychogenicnonepilepticseizurespnescaseswithsalineinjectionmethodinvideoeegmonitorizationunit AT ibrahimbora evaluationofpsychogenicnonepilepticseizurespnescaseswithsalineinjectionmethodinvideoeegmonitorizationunit AT aylinbicandemir evaluationofpsychogenicnonepilepticseizurespnescaseswithsalineinjectionmethodinvideoeegmonitorizationunit AT dursunceylan evaluationofpsychogenicnonepilepticseizurespnescaseswithsalineinjectionmethodinvideoeegmonitorizationunit |