Ictal level of awareness in psychogenic nonepileptic seizures correlates with the experience of traumatic events in childhood: A cross sectional study.

摘要: Abstract There is a great amount of research regarding the particular ictal manifestations psychogenic nonepileptic seizures (PNES) with focus on differences to epileptic (Vogrig et al., 2019 [4]; Tyson 2018 [5]; De Paola 2016 [6]). Most aims define guidelines for diagnosing PNES in differentiation from epilepsy, because this clinically relevant clinical neurological settings. In contrast, very few studies aimed gain insight about different semiological appearances distinctive psychological processes or prognostic outcomes (Brown, [7]; Pick 2017 [8]; Brown, 2006 [9]; Cohen, 2013). One study revealed that higher level mental dissociation and cognitive impairment was associated traumatization patients (Pick [8]). We analyzed seizure semiology awareness 60 PNES. Patients were divided into two groups: one an impaired during their other preserved seizures. assessed adverse traumatic experience childhood “Childhood Trauma Questionnaire (CTQ)”. found showed more experiences CTQ, especially subscales sexual emotional abuse as well physical neglect. Furthermore, significantly younger, often female, lower degree education, self-harm behavior compared Our presents evidence potential significance etiology results point toward existence subgroups etiological mechanisms indicate might help differentiate those subgroups.