Non-epileptic crisis: paroxystic events of psychogenic origin

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32597

Keywords:

Non-Epileptic Psychogenic Crisis; Epilepsy; Video-Electroencephalogram; Traumatic events.

Abstract

This article addresses the non-epileptic seizure in paroxysmal events of psychogenic origin. It discusses the difficulties that health professionals, responsible for the diagnosis, have when dealing with individuals who present epileptic signs and symptoms, but which, in turn, are not related to epilepsy. In this context, we investigate the process of diagnosing Non-Epileptic Psychogenic Crisis (NCNE). For this, the bibliographic research was used as a methodological procedure. During this process, data was collected from published articles that covered and portrayed the theme directed to clinical practice, thus, academic publications were analyzed, those of interest were selected, and through observation, the data were analyzed in order to gather the knowledge produced. About the subject. After research, it was concluded that it is necessary for health teams to be aware of the characteristics, diagnosis and treatment of a PNEC, so that, in the face of any apparent occurrence, they seek to investigate, in detail, the individual's life history and that, in sequence, the patient is referred to the video-electroencephalogram, in order to correctly discard or confirm the investigation and offer a resolutive treatment.

Author Biographies

Gabriela Gamba da Silva, União das Faculdades de Alta Floresta

Academic of the 10th semester of Nursing.

Andreia Cristina Pontarolo Lidoino, Universidade do Vale do Taquari

Effective teacher of Basic Education in the State Network of Mato Grosso, acting as Regional Coordinator of Alfabetiza MT, center of Alta Floresta Mato Grosso and at the Faculty of Alta Floresta FAF. Graduated in Pedagogy from the União das Faculdades de Alta Floresta (UNIFLOR), Postgraduate in Early Childhood Education and Literacy from AJES and in Neuropsychopedagogy and Inclusive Education from CENSUPEG, Master in Teaching from UNIVATES and PhD student in Teaching from UNIVATES. Experience in working in Basic Education from 1st to 5th year, Multifunctional Resource Room, Learning Laboratory and in Higher Education with the subjects of: Supervised Internship, Brazilian Sign Language, LIBRAS, Didactics, Literacy and Literacy, Fundamentals and Methodology of: Literacy. Publications of articles in the area of ​​Teaching and Education. Experience in working with continuing education of teachers for Early Childhood Education, 1st to 5th year, with the themes: Curriculum, planning, evaluation, disorders and deficiencies. He has a certificate of participation and lecturer in courses, mini-courses, workshops and lectures focused on Basic Education, Special Education and Higher Education.

References

Anzellotti, F., Dono, F., Evangelista, G., Pietro, D. M., Carrarini, C., Russo, M., Ferrante, C., Sensi, L. S., & Onofrj, M. (2020). Psychogenic Non-epileptic Seizures and Pseudo-Refractory Epilepsy, a Management Challenge. Frontiers in Neurology: Epilepsy. 11 (461), 1-14.

Baslet, G. (2011). Psychogenic non-epileptic seizures: A model of their pathogenic mechanism. Elsevier. 20 (1), 1-13.

Boccato, V. R. C. (2006). Metodologia da pesquisa bibliográfica na área odontológica e o artigo científico como forma de comunicação. Rev. Odontol. Univ. Cidade São Paulo, São Paulo. 18 (3), 265-274.

Bowman, E. (2006). Why Conversion Seizures Should Be Classified as a Dissociative Disorder. Psychiatric Clinics of North America. 29 (1), 185-211.

Breuer, J., & Freud, S. (1955). Studies on hysteria (1893-1895). The Standard Edition of the Complete Psychological Works of Sigmund Freud. 2, 1-372 .

Cuthill, F. M., & Espie, C. A. (2005). Sensitivity and specificity of procedures for the differential diagnosis of epileptic and non-epileptic seizures: A systematic review. Seizure. 14 (5), 293-303.

Davis, B. J. (2004). Predicting nonepileptic seizures utilizing seizure frequency, EEG, and response to medication. European Neurology. 51 (3), 153-156.

Goodwin, J., & Gross, M. (1979). Pseudoseizures and Incest. American Journal of Psychiatry. 153 (9), 1231.

Jr, W. C. P. L., Baker, G. A., Duncan, R., Goldstein, L. H., & Reuber, M. (2013). Minimum requirements for the diagnosis of psychogenic nonepileptic seizures: A staged approach. Epilepsia: Official Journal of the International League Against Epilepsy. 54 (11), 2005-2018.

Jungilligens, J., Michaelis, R., & Popkirov, S. (2021). Misdiagnosis of prolonged psychogenic non-epileptic seizures as status epilepticus: epidemiology and associated risks. Journal of Neurology, Neurosurg, and Psychiatry, Alemanha. 92 (12), 1341-1345.

Kozlowska, K., Chudleigh, C., Cruz, C., Lim, M., Mcclure, G., Savage, B., Shah, U., Cook, A., Scher, S., Carrive, P., & Gill, D. (2018). Psychogenic non-epileptic seizures in children and adolescents: Part II – explanations to families, treatment, and group outcomes. Clinical Child Psychology and Psychiatry, Westmead/Austrália. 23 (1), 160-176.

Kutlubaev, M. A., Xu, Y., Hackett, M. L., & Stone, J. (2018). Dual diagnosis of epilepsy and psychogenic nonepileptic seizures: systematic review and meta-analysis of frequency, correlates and outcomes. Epilepsy e Behavior. 89, 70-78.

Labiner, D. M., Bagic, A. I., Herman, S. T., Fountain, N. B., Walczak, T. S., & Gumnit, R. J. (2010). Essential services, personnel and facilities in specialized epilepsy centers-revised 2010 guidelines. Epilepsia, Minneápolis. 51 (11), 2322-2333.

Lanzillotti, A. I., Sarudiansky, M., Lombardi, N. R., Korman, G. P., & D’Alessio, L. (2021). Updated Review on the Diagnosis and Primary Management of Psychogenic Nonepileptic Seizure Disorders. Neuropsychiatric Disease and Treatment, Buenos Aires. 17, 1825-1838.

Liske, E., & Forster, F. M. (1964). Pseudoseizures a problem in the diagnosis and management of epileptic patients. Neurology, Minneápolis. 14 (41), 41.

Mayor, R., Howlett, S., Grunewald, R., & Reuber, M. (2010). Long-term outcome of brief augmented psychodynamic interpersonal therapy for psychogenic nonepileptic seizures: seizure control and health care utilization. Full-Length Original Research 1169, Sheffield. 51 (7), 1169-1176.

Minayo, M. C. S. (2014). O desafio do conhecimento: pesquisa qualitativa em saúde. 14ª edição. São Paulo: Hucitec Editora. 1-416.

Moore, P. M., & Baker, G. A. (1997). Non-epileptic attack disorder: a psychological perspective. Elsevier, Liverpool. 6 (6), 429-434.

Toffa, D. H., Poirier, L., & Nguyen, D. K. (2020). The first-line management of psychogenic non-epileptic seizures (PNES) in adults in the emergency: a practical approach. Acta Epileptologica. 2 (7), 1-11.

Witgert, M. E., Wheless, J. W., & Breier, J. I. (2005). Frequency of panic symptoms in psychogenic nonepileptic seizures. Epilepsy Behavior. 6 (2), 174-178.

Published

06/08/2022

How to Cite

SILVA, G. G. da; LIDOINO, A. C. P. . Non-epileptic crisis: paroxystic events of psychogenic origin. Research, Society and Development, [S. l.], v. 11, n. 10, p. e415111032597, 2022. DOI: 10.33448/rsd-v11i10.32597. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32597. Acesso em: 4 oct. 2022.

Issue

Section

Review Article