Psychogenic Nonepileptic Seizures in Adolescence: Case Report

Psychogenic non-epileptic seizures are a functional neurological disorder characterized by time-limited disturbances of sensory-motor control accompanied by an alteration in consciousness, resembling epileptic seizures but with no ictal activity on electroencephalogram. Because psychogenic non-epil...

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Autores principales: Cláudia Gomes Cano, Ana Catarina Serrano, Sandra Pires, Andreia Pereira
Formato: article
Lenguaje:EN
PT
Publicado: Sociedade Portuguesa de Pediatria 2021
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Acceso en línea:https://doaj.org/article/f7a1d26f0b8e45f5ae0a22f4a8125dbf
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Sumario:Psychogenic non-epileptic seizures are a functional neurological disorder characterized by time-limited disturbances of sensory-motor control accompanied by an alteration in consciousness, resembling epileptic seizures but with no ictal activity on electroencephalogram. Because psychogenic non-epileptic seizures mimic epileptic seizures, children and adolescents suffering from it are usually seen by neurologists. Early diagnosis and intervention with a multidisciplinary approach, including neurology and pedopsychiatry, are critical to limit unnecessary medical investigations, needless antiepileptic drugs, approach psychiatric comorbidities and improve treatment adherence and prognosis.  We report the case of a 12-year-old female with several admissions to a neuropediatric inpatient unit with a diagnosis of psychogenic non-epileptic seizures, as a platform to discuss neurologic and psychiatric assessments, delivery of diagnoses, and planning of outpatient management of psychogenic non-epileptic seizures in children.