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. 2020 Mar;104(Pt A):106882.
doi: 10.1016/j.yebeh.2019.106882. Epub 2020 Jan 24.

Emergency room diagnoses of psychogenic nonepileptic seizures with psychogenic status and functional (psychogenic) symptoms: Whopping

Helene Kholi  1 , Laurent Vercueil  2
Affiliations

Emergency room diagnoses of psychogenic nonepileptic seizures with psychogenic status and functional (psychogenic) symptoms: Whopping

Helene Kholi et al. Epilepsy Behav. 2020 Mar.

Abstract

Collecting 130 electronic medical records and diagnoses from emergency room stays of eleven patients with confirmed psychogenic nonepileptic seizure (PNES) over a 17-year period (2001-2018), 48 different diagnostic terms were retrieved. This emphasized the need for a consensual terminology encompassing not only PNES but also all functional transient (paroxysmal) events, including episodes of motor or sensory deficits, and cognitive symptoms. Rather than defining what it is not (PNES, stroke mimicks…), it would be more accurate to define what it is: a paroxysmal functional event.

Keywords: FNSD; Functional neurological symptom disorders; PFE; PNES; Paroxysmal functional event; Psychogenic nonepileptic seizure.

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Conflict of interest statement

Declaration of competing interest None declared under financial, general, and institutional competing interests.

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