Neurológia pre prax 5/2015

Psychogenic nonepileptic seizures

Psychogenic nonepileptic seizures (PNES) are relatively common disease. These patients make up one-fifth of pharmacoresistant seizure patients. There are formed by the mechanism of psychogenic somatoform dissociation in the presence of other factors. In the differential diagnosis, in particular for distinguishing from epileptic seizures, it is video-EEG monitoring and seizure suggestive provocation as a gold standard. Based on repeated observations were identified some typical seizure manifestations. Patients often suffer from other psychiatric comorbidities. The main part of treatment is psychotherapy, however, only a quarter of patients is long-term compensated.

Keywords: psychogenic nonepileptic seizures, video-EEG, provocative testing, psychotherapy