Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder

Dai Miyawaki,1 Yoshihiro Iwakura,1 Toshiyuki Seto,2 Hiroto Kusaka,1 Ayako Goto,1 Yu Okada,1 Nobuyoshi Asada,1 Erika Yanagihara,1 Koki Inoue1 1Department of Neuropsychiatry, 2Department of Pediatrics, Osaka City University Graduate School of Medicine, Asahi-machi, Abeno-ku, Osaka, Japan Abstract: P...

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Autores principales:	Miyawaki D, Iwakura Y, Seto T, Kusaka H, Goto A, Okada Y, Asada N, Yanagihara E, Inoue K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	psychogenic nonepileptic seizures autism spectrum disorders undiagnosed children Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/c70ddd0792ee46cf8fce0f30e57ba3c5
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spelling	oai:doaj.org-article:c70ddd0792ee46cf8fce0f30e57ba3c52021-12-02T00:11:09ZPsychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder1178-2021https://doaj.org/article/c70ddd0792ee46cf8fce0f30e57ba3c52016-01-01T00:00:00Zhttps://www.dovepress.com/psychogenic-nonepileptic-seizures-as-a-manifestation-of-psychological--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Dai Miyawaki,1 Yoshihiro Iwakura,1 Toshiyuki Seto,2 Hiroto Kusaka,1 Ayako Goto,1 Yu Okada,1 Nobuyoshi Asada,1 Erika Yanagihara,1 Koki Inoue1 1Department of Neuropsychiatry, 2Department of Pediatrics, Osaka City University Graduate School of Medicine, Asahi-machi, Abeno-ku, Osaka, Japan Abstract: Psychogenic nonepileptic seizures (PNES) are observable changes in behavior or consciousness that are similar to epileptic seizures but are not associated with electrophysiologic changes. PNES occur in children with underlying psychological distress and are especially frequent in those with epilepsy. Because PNES are heterogeneous, comprehensive treatment tailored to each patient is required to reduce psychosocial stress. Currently, reports regarding children with PNES concomitant with autism spectrum disorder (ASD) do not exist, and effective treatment strategies for these children are lacking. In this case report, we describe a 10-year-old Japanese girl with undiagnosed ASD who developed PNES while undergoing treatment for benign childhood epilepsy with centrotemporal spikes. She exhibited hypersensitivity to sound and interpersonal conflicts caused by social communication deficits. The PNES symptoms improved shortly after our intervention, which was designed to reduce her distress caused by auditory hypersensitivity and impaired social communication, both characteristics of ASD. To the best of our knowledge, this is the first report describing PNES in a child with ASD. Our findings suggest that PNES can result from psychological distress in children with undiagnosed ASD and highlight the importance of examining ASD traits in patients with PNES. Keywords: pseudoseizures, autism spectrum disorders, undiagnosed, childrenMiyawaki DIwakura YSeto TKusaka HGoto AOkada YAsada NYanagihara EInoue KDove Medical Pressarticlepsychogenic nonepileptic seizuresautism spectrum disordersundiagnosedchildrenNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 185-189 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	psychogenic nonepileptic seizures autism spectrum disorders undiagnosed children Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	psychogenic nonepileptic seizures autism spectrum disorders undiagnosed children Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Miyawaki D Iwakura Y Seto T Kusaka H Goto A Okada Y Asada N Yanagihara E Inoue K Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
description	Dai Miyawaki,1 Yoshihiro Iwakura,1 Toshiyuki Seto,2 Hiroto Kusaka,1 Ayako Goto,1 Yu Okada,1 Nobuyoshi Asada,1 Erika Yanagihara,1 Koki Inoue1 1Department of Neuropsychiatry, 2Department of Pediatrics, Osaka City University Graduate School of Medicine, Asahi-machi, Abeno-ku, Osaka, Japan Abstract: Psychogenic nonepileptic seizures (PNES) are observable changes in behavior or consciousness that are similar to epileptic seizures but are not associated with electrophysiologic changes. PNES occur in children with underlying psychological distress and are especially frequent in those with epilepsy. Because PNES are heterogeneous, comprehensive treatment tailored to each patient is required to reduce psychosocial stress. Currently, reports regarding children with PNES concomitant with autism spectrum disorder (ASD) do not exist, and effective treatment strategies for these children are lacking. In this case report, we describe a 10-year-old Japanese girl with undiagnosed ASD who developed PNES while undergoing treatment for benign childhood epilepsy with centrotemporal spikes. She exhibited hypersensitivity to sound and interpersonal conflicts caused by social communication deficits. The PNES symptoms improved shortly after our intervention, which was designed to reduce her distress caused by auditory hypersensitivity and impaired social communication, both characteristics of ASD. To the best of our knowledge, this is the first report describing PNES in a child with ASD. Our findings suggest that PNES can result from psychological distress in children with undiagnosed ASD and highlight the importance of examining ASD traits in patients with PNES. Keywords: pseudoseizures, autism spectrum disorders, undiagnosed, children
format	article
author	Miyawaki D Iwakura Y Seto T Kusaka H Goto A Okada Y Asada N Yanagihara E Inoue K
author_facet	Miyawaki D Iwakura Y Seto T Kusaka H Goto A Okada Y Asada N Yanagihara E Inoue K
author_sort	Miyawaki D
title	Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
title_short	Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
title_full	Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
title_fullStr	Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
title_full_unstemmed	Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
title_sort	psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/c70ddd0792ee46cf8fce0f30e57ba3c5
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Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder

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