0171 Clinical profile and role of video EEG monitoring in diagnosis of psychogenic non epileptic seizures

2005 ◽  
Vol 238 ◽  
pp. S143
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter

This chapter discusses the experience of a Neurologist with a patient who presented with a history of three bilateral convulsive seizures over a period of several months. The Neurologist started him on an adjunct antiepileptic therapy and he became seizure free. However, the situation changed dramatically after a stable period of twelve months. He started having seizures again and his mother was able to recognize that these seizures were different from those he had had one year earlier. Prolonged video-EEG monitoring confirmed the diagnosis of Non-Epileptic Seizures (NES). The Neurologist then referred the patient to a Clinical Psychologist, who used Cognitive Behavioral Therapy and taught him some techniques to cope with the condition. Eventually, the patient and his family were able to manage the NES better with the help of the psychologist. The patient reported a significant improvement clinically with less frequent NES and they learned how to manage the situation without visiting the Emergency Department.


Seizure ◽  
1997 ◽  
Vol 6 (6) ◽  
pp. 475-477 ◽  
Author(s):  
R.C.Q. Quiroga ◽  
L. Pirra ◽  
C. Podestá ◽  
R.C. Leiguarda ◽  
A.L. Rabinowicz

2020 ◽  
Vol 111 ◽  
pp. 107271
Author(s):  
Shobi Sivathamboo ◽  
Thomas N. Constantino ◽  
Zhibin Chen ◽  
Paul B. Sparks ◽  
Jeremy Goldin ◽  
...  

Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter

This chapter describes the experience of a Psychotherapist/Dramatherapist when working in a Neuropsychiatry department. It was there that the Psychotherapist met patients with Conversion Disorder for the first time and worked with them and others who were undergoing video-EEG monitoring for unexplained attacks, fits, or seizures. These experiences, among many others, have gradually led the Psychotherapist to create “Metamyth,” a psychological method uniquely suitable for the treatment of people with epilepsy. Metamyth for people with Non-Epileptic Seizures (NES) adopts a different approach to that used with epilepsy. As a holistic approach, Metamyth is interested in the mind, body, soul and intuition, and communication. Considerable patience is needed to understand the complexity of each patient with NES and for the diagnosis to reveal itself over time.


2007 ◽  
Vol 65 (3a) ◽  
pp. 565-568 ◽  
Author(s):  
Gisele R. de Oliveira ◽  
Francisco de A.A. Gondim ◽  
R. Edward Hogan ◽  
Francisco H. Rola

The distinction of non-epileptic from epileptic events is difficult even for experienced neurologists. We retrospectively evaluated 59 dialeptic events from 27 patients admitted for video EEG monitoring to check whether heart rate (HR) analysis could help in differentiating dialeptic complex partial temporal lobe seizures (TLS) from dialeptic simple partial TLS, and non-epileptic dialeptic events. Baseline HR was increased in the simple partial TLS in comparison to complex partial TLS and non-epileptic groups (p<0.05). HR increase accompanied each individual dialeptic complex partial TLS (100% of the events, p<0.05) bur HR returned to baseline in the post-ictal phase. Ictal HR was not altered in the non-epileptic or simple partial TLS groups. Our findings suggest that ictal centrally mediated tachycardia is characteristic of dialeptic TLS (both tachycardia and bradycardia have been reported during TLS). This finding may be used as a criterion to distinguish dialeptic complex partial TLS from simple partial and non-epileptic dialeptic events.


Seizure ◽  
2000 ◽  
Vol 9 (2) ◽  
pp. 124-127 ◽  
Author(s):  
N. Dericioğlu ◽  
M. Albakir ◽  
S. Saygi
Keyword(s):  

Author(s):  
D. Murashov ◽  
Y. Obukhov ◽  
I. Kershner ◽  
M. Sinkin

<p><strong>Abstract.</strong> In this paper, an algorithm for automated detecting diagnostic events in video channel of video and electroencephalographic (EEG) monitoring data is presented. The analysis of video sequences is focused on identifying a group of frames with high or very low (depending on the type of seizure) dynamics of informative areas according to a criterion calculated during processing of the optical flow. The preliminary results of the analysis of real clinical data are given and compared with data obtained from the synchronous EEG. The results showed the possibility in principle of reliable diagnosing epileptic seizures and distinguishing them from non-epileptic events.</p>


2013 ◽  
Vol 1 (1) ◽  
pp. 17-21
Author(s):  
Mohsen Aghaee Hakak ◽  
Hossein Amiri ◽  
Malihe Mohammadpour ◽  
Iraj Vosough ◽  
Behnaz Razavi ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document