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Titolo:
Clinical symptoms in psychogenic seizures
Autore:
Groppel, G; Pataraia, E; Olbrich, A; Bacher, J; Leutmezer, F; Aull, S; Kapitany, T; Lehrner, J; Lindinger, G; Baumgartner, C;
Indirizzi:
Univ Vienna, Neurol Klin, Epilepsie Monitoring Unit, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 onitoring Unit, A-1090 Vienna, Austria
Titolo Testata:
WIENER KLINISCHE WOCHENSCHRIFT
fascicolo: 12, volume: 111, anno: 1999,
pagine: 469 - 475
SICI:
0043-5325(19990618)111:12<469:CSIPS>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
TEMPORAL-LOBE EPILEPSY; ICTAL CHARACTERISTICS; PSEUDOSEIZURES; EEG; ONSET;
Keywords:
psychogenic seizures; frontal lobe epilepsy; differential diagnosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Baumgartner, C Univ Vienna, Neurol Klin, Epilepsie Monitoring Unit, Wahringer Gurtel 18-20, A-1090 Vienna, Austria Univ Vienna Wahringer Gurtel 18-20Vienna Austria A-1090 a
Citazione:
G. Groppel et al., "Clinical symptoms in psychogenic seizures", WIEN KLIN W, 111(12), 1999, pp. 469-475

Abstract

Purpose: To develop a classification system of psychogenic seizures based on characteristic clinical symptom clusters and sequences in order to facilitate the correct differential diagnosis of epileptic seizures. Methods: We analysed the symptoms: clonic movements, hypermotor movements,trembling and tonic posturing of the upper/lower extremities, pelvic thrusting, stiffening of the body, version, side-to-side-head movements, non-versive head-turning and falling to the floor. We did this in a series of 16 patients with psychogenic seizures documented with prolonged video EEG monitoring. Nine patients (7 with frontal lobe epilepsy and 2 with primary generalised epilepsy with tonic, clonic seizures) served as a control group. Results: We classified psychogenic seizures into 3 groups, namely (1) atonic psychogenic seizures, (2) psychogenic motor seizures and (3) psychogenichypermotor seizures characterised by (1) falling to the ground, (2) trembling in the upper/lower extremities and (3) pelvic thrusting in combination with beating and kicking. While version exclusively occurred in epileptic seizures (incidence = 20%) and side-to-side head movements were only observed during psychogenic seizures (incidence = 8%), all other analysed symptomswere observed in both psychogenic and epileptic seizures. Conclusion: Our classification scheme should be useful in terms of permitting a more comprehensive clinical assessment of psychogenic seizures and their underlying psychiatric disorders. Furthermore, the differential diagnosis of psychogenic seizures should be considerably improved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/09/19 alle ore 22:39:00