الاختلاجات غير الصرعية نفسية المنشأ في العيادات الخارجية العصبية

الموضوعات

طب

روابط وملفات

التعريف والنوع

رقم الوثيقة

f6333016-18e5-4535-94e3-892181cd078a

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1961576_1.pdf

بيانات النشر

ترجمة العنوان

Psychogenic Non-epileptic Seizures in Out-Patient Neurology Clinics

ألقاب المؤلفين

[{"name_ar":"محمد سراة غباري","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"محمد طاهر فرفوطي","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

Arabic

المصدر والدورية

اسم المصدر

الاختلاجات غير الصرعية نفسية المنشأ في العيادات الخارجية العصبية

المحتوى والصفحات

عدد الصفحات

0

ترجمة الملخص

Aim of study: highlighting the possibility of diagnosing PNES without video EEG. Materials and methods :the study contained 38 patients (24 females and 14 males) aging (14-58) referred to the neurology clinics for evaluation of paroxysmal events as soicated with loss of conciousness. Patients were divided equally to "possible PNES" group (clinical history and seizure semiology consistent with PNES in the absence of epileptiform discharges on interictal EEG) and "epileptic seizures" group .all patients underwent physical exam, neuroglogical exam ,ECG, EEG, brain CT, depression screening and somatization screening.Results:47.4% of patients in the possible PNES group had nonspecific changes on EEG. 31.6% of patients in the possible PNES group were taking antiepileptic drugs. 84.2% of patients in the possible PNES group had at least two psychologicaltriggers versus 57.9% in the ES group(p=0.022). the PHQ2 depression screening (with ascore equal to or more than 2) was positive in 78.9%of patients in the possible PNES group versus 36.8%in the ES group(p=0.009).The somatization screening was positive in 68.4% of patients in the possible PNES group versus 36.8% in the ES group (p=0.044). Tongue biting, urinary incontinence and self injuries were more prevalent in the ES group without reaching a significant statistical value .Conclusions :A significant proportion of PNES patients are exposed to unnecessary treatment with antiepileptic medications. Depression and somatization are more prevalent among PNES patients than epilepsy patients.

إشراف وإعداد

الإشراف

محمد طاهر فرفوطي

الإعداد

محمد سراة غباري

الاقتباسات الببليوغرافية