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Psychogenic Nonepileptic Seizures and Comorbid Epilepsy in an Adolescent

  • Sigita Plioplys
  • Amandeep Jutla
Chapter

Abstract

Psychogenic nonepileptic seizures (PNES) in children are associated with high rates of psychiatric and medical comorbidities, including epilepsy. Early PNES diagnosis leads to timely psychiatric treatment and improved outcomes. The gold standard approach to diagnosis includes a comprehensive history, a psychiatric assessment, and a video-EEG recording capturing the PNES event without an ictal EEG epileptiform correlate. PNES treatment is multidisciplinary and includes a mental health clinician taking the primary role, a neurologist/epileptologist, the patient’s primary care provider, school staff, and family. The treatment strategy for patients with PNES and comorbid epilepsy must address both disorders. This chapter includes a case discussion of a teenage girl with PNES and epilepsy.

Keywords

Epilepsy Jeavons syndrome Psychogenic nonepileptic seizures Conversion disorder Anxiety sensitivity Somatization 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Pediatric Neuropsychiatry Clinic, Department of Child and Adolescent Psychiatry at Lurie Children’s Hospital, Psychiatry and Behavioral SciencesNorthwestern UniversityChicagoUSA
  2. 2.Department of Child and Adolescent PsychiatryAnn and Robert H. Lurie Children’s Hospital of ChicagoChicagoUSA

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