Article

Psychogenic non-epileptic seizures (PNES) are defined as change in behavior or
consciousness resembling epileptic seizures but which have a psychological
origin. PNES are categorized as a manifestation of dissociative or somatoform
(conversion) disorders. Video-EEG recording of an event is the gold standard for
diagnosis. PNES represent a symptom, not the underlying disease and the mechanism
of dissociation is pivotal in the pathophysiology. Predisposing, precipitating
and perpetuating factors should be carefully assessed on a case-by-case basis.
The process of communicating the diagnosis using a multidisciplinary approach is
an important and effective therapeutic step.
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Langue : ANGLAIS