The Roles of the Patient and Family

2017 ◽  
Author(s):  
Julia L. Doss ◽  
Jeffrey Mark Robbins
Keyword(s):  
Outpatient Treatment ◽  
Pediatric Patients ◽  
Physical Symptoms ◽  
Adult Patients ◽  
Psychogenic Nonepileptic Seizures ◽  
Ongoing Process ◽  
The Family ◽  
Nonepileptic Seizures

Psychogenic nonepileptic seizures (PNES) is a complicated disorder to both diagnose and treat. While challenging to manage, the physical symptoms represent only a part of the treatment of PNES. This chapter addresses how to approach the family and the patient from the first diagnostic encounter to the evolving process of outpatient treatment. In addition, working with pediatric and adult patients differs significantly. Pediatric patients with PNES must develop tools for improved management of their symptoms first and then proceed to working on underlying stressors. For adult patients, making the connection between symptoms and underlying stressors is an ongoing process that is woven throughout the course of treatment. Both an adult and a child case are presented to further illustrate these dynamics.

scholarly journals Psychogenic nonepileptic seizures in children and adolescents with epilepsy

2007 ◽  
Vol 13 (4 suppl 1) ◽  
pp. 10-14
Author(s):  
Kette Dualibi R. Valente
Keyword(s):  
Children And Adolescents ◽  
Lower Risk ◽  
Pediatric Patients ◽  
Epileptic Seizures ◽  
Psychological Process ◽  
Age Group ◽  
Psychogenic Nonepileptic Seizures ◽  
Nonepileptic Seizures

Psychogenic nonepileptic seizures (PNES) are defined by episodes of abnormal movement, sensations, or cognitive experiences similar to epileptic seizures. These events, however, are not related to abnormal electrical brain discharges and are thought to be cause by a psychological process. Children appear to carry a lower risk for PNES compared to adults and yet this diagnosis maybe present in up to 10% of the pediatric patients. The main features of PNES in such age group is discussed.

Neurological and Medical Factors

2017 ◽  
Author(s):  
Victoria S. S. Wong ◽  
Martin Salinsky
Keyword(s):  
Medically Unexplained Symptoms ◽  
Chronic Fatigue ◽  
Physical Symptoms ◽  
Health Care Use ◽  
Psychogenic Nonepileptic Seizures ◽  
Medical Factors ◽  
Fatigue Syndrome ◽  
Medically Unexplained ◽  
Nonepileptic Seizures ◽  
Unexplained Symptoms

This chapter addresses the neurological and medical factors associated with psychogenic nonepileptic seizures (PNES). PNES can occur concurrently with epilepsy in 5 to 20% of patients. Traumatic brain injury (TBI) is a major cause of epilepsy, but it is also commonly cited by patients with PNES as the primary cause of their seizures. PNES are also overrepresented in patients with intellectual and learning disabilities. Patients with PNES usually have additional subjective neurological and medical complaints. Pain complaints are overrepresented in patients with PNES and are a major contributor to health care use. Cognitive complaints are also common, with a patient’s mood playing a larger role than objective cognitive dysfunction. Medically unexplained symptoms such as fibromyalgia and chronic fatigue syndrome are overrepresented in patients with PNES. Their occurrence increases the likelihood of diagnosing PNES over epilepsy. These observations reveal a complex pattern of susceptibility to the development of PNES. PNES are thus best viewed as only one symptom of a heterogeneous disorder characterized by multiple physical symptoms used to express psychological distress.

Stress Incidence and Appraisal in Patients With Psychogenic Nonepileptic Seizures

2008 ◽  
Author(s):  
Mollie R. Sprung ◽  
S. Marc Testa ◽  
Gregory L. Krauss ◽  
Ronald P. Lesser ◽  
Jung Geum Im ◽  
...  
Keyword(s):  
Psychogenic Nonepileptic Seizures ◽  
Nonepileptic Seizures

Art and psychogenic nonepileptic seizures

2020 ◽  
Vol 112 ◽  
pp. 107344
Author(s):  
Lady Diana Ladino ◽  
Yamile Calle-López ◽  
Alexandra Carter ◽  
José Francisco Tellez-Zenteno
Keyword(s):  
Psychogenic Nonepileptic Seizures ◽  
Nonepileptic Seizures

scholarly journals Macrophage Activation Syndrome in Adults: A Retrospective Case Series

2021 ◽  
Vol 9 ◽  
pp. 232470962110264
Author(s):  
Taylor Warmoth ◽  
Malvika Ramesh ◽  
Kenneth Iwuji ◽  
John S. Pixley
Keyword(s):  
Macrophage Activation Syndrome ◽  
Macrophage Activation ◽  
Pediatric Patients ◽  
Inflammatory Diseases ◽  
Systemic Juvenile Idiopathic Arthritis ◽  
Case Series ◽  
Adult Patients ◽  
Retrospective Case ◽  
Life Threatening ◽  
Activation Syndrome

Macrophage activation syndrome (MAS) is a form of hemophagocytic lymphohistocytosis that occurs in patients with a variety of inflammatory rheumatologic conditions. Traditionally, it is noted in pediatric patients with systemic juvenile idiopathic arthritis and systemic lupus erythematous. It is a rapidly progressive and life-threatening syndrome of excess immune activation with an estimated mortality rate of 40% in children. It has become clear recently that MAS occurs in adult patients with underlying rheumatic inflammatory diseases. In this article, we describe 6 adult patients with likely underlying MAS. This case series will outline factors related to diagnosis, pathophysiology, and review present therapeutic strategies.

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