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Koexistenz von Epilepsie und dissoziativen Anfällen

Coexistence of epilepsy and dissociative seizures

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Zusammenfassung

Das Vorliegen dissoziativer Anfälle als Komorbitität bei einer Epilepsie stellt vor besondere diagnostische und therapeutische Herausforderungen. Viele zur Differenzialdiagnose verwendete Kriterien können nur unter separater Betrachtung der einzelnen Anfallstypen eingesetzt werden. Eine Video-EEG gestützte Diagnose mit vollständiger Dokumentation aller habituell beobachteten Anfälle ist in der Regel unverzichtbar. In der vorliegenden Übersicht werden diagnostisch wegweisende Kriterien und therapeutische Zugangswege dargestellt.

Abstract

Dissociative seizures as a comorbidity of epilepsy pose special problems in their diagnosis and therapy. Many criteria commonly used for differential diagnosis have to be applied to the individual seizure types. In most cases, video-EEG telemetry with complete documentation of all habitual seizure types is indispensable. This overview gives detailed diagnostic criteria and suggests possible therapeutic approaches.

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  1. Sektion Epileptologie, Neurozentrum, Universitätsklinikum Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland

    A. Schulze-Bonhage

  2. Abt. Psychosomatik, Universitätsklinikum Freiburg, Freiburg, Deutschland

    K. Fritzsche

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Correspondence to A. Schulze-Bonhage.

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Schulze-Bonhage, A., Fritzsche, K. Koexistenz von Epilepsie und dissoziativen Anfällen. Z. Epileptol. 22, 156–162 (2009). https://doi.org/10.1007/s10309-009-0040-2

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  • DOI: https://doi.org/10.1007/s10309-009-0040-2

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