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Psychogenic Nonepileptic Seizures in Adolescence: Case Report

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Abstract(s)

Psychogenic non-epileptic seizures are a functional neurological disorder characterized by transient alterations in sensory-motor control and a lack of response to external stimulus, resembling epileptic seizures, but with distinctive semiologic features supported by no ictal activity on electroencephalogram. Since psychogenic non-epileptic seizures can mimic epileptic seizures, children and adolescents with this presentation are usually seen by neurologists. Early diagnosis and intervention with a multidisciplinary approach, including neurology and pedopsychiatry, are critical for limiting unnecessary medical investigations and needless antiepileptic drugs, ascertaining psychiatric comorbidities, and improving treatment adherence and prognosis. We report the case of a 12-year-old female with several admissions to a neuropediatric inpatient unit with a diagnosis of psychogenic non-epileptic seizures to discuss neurologic and psychiatric assessments, delivery of diagnoses, and planning of outpatient management of this disorder in adolescents.

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Keywords

Adolescent Seizures/diagnosis Seizures/ etiology Somatoform Disorders/diagnosis Somatoform Disorders/psychology Psychophysiological Disorders/ diagnosis; Psychophysiological Disorders/psychology HDE PEDOP HDE NEU PED

Citation

Port J Pediatr 2021;52:288-92

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Sociedade Portuguesa de Pediatria

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