Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Psychogenic nonepileptic seizures are paroxysmal events that resemble epileptic seizures with regards to their behaviour or experience, but are without epileptiform activity on EEG. Differentiating PNES from true seizures is essential in providing the correct treatment and avoiding morbidity and potentially life threatening risks that can occur with misdiagnosis. To study the clinical profile of patients presenting with psychogenic nonepileptic seizures and to assess the underlying psychological stressors responsible for the patient’s illness. Patients who presented with PNES episodes between September‐August 2021‐2023 were analysed. Detailed history regarding the semiology of the episode was taken and neurological examination was performed on all the patients. All the patients underwent necessary investigations including Magnetic Resonance imaging (MRI) brain and Video Electroencephalogram (EEG) monitoring. A total of 70 cases were studied. Most of the patients were young females with Female: Male ratio is 7:3. Mean age was around 23 years. Ten patients had co‐morbid true seizures. Most common psychological stressors observed were loss of family member, family disputes, educational stress. Patients with PNES pose substantial economic burden to the health care system. Delay in diagnosis and treatment may result in significant psychological and physical morbidity to the affected patient. A multidisciplinary approach is necessary to treat such patients. Seizures, epilepsy, psychogenic seizures, pseudoseizures, stressors, semiology of seizure.
How to cite this article:
Bindu Narmada Gottipati, N. V. Sundarachari and Praveen Chanumolu. A Study on Psychogenic Nonepileptic Seizures (Pnes) at a Tertiary Care Center.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.163.167
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.163.167