Document Detail

Psychogenic seizures in children: long-term analysis of 43 cases.
MedLine Citation:
PMID:  7822733     Owner:  NLM     Status:  MEDLINE    
Forty-three patients exhibiting psychogenic seizures with onset before the age of 16 years were studied. All patients underwent intensive electroencephalography and video-electroencephalography monitoring. Thirty-two were female and 11 male. Mean age of the population at seizure onset was 12.4 years (range, 5 to 16 years). Twenty-one patients (48.8%) were taking anticonvulsants. Neurologic past history was abnormal in nine cases. Family history of epilepsy was found in 15 cases (34.9%). Median seizure frequency was one seizure every 5 days. Clinical characteristics of the seizures varied. However, unresponsiveness with generalized violent and uncoordinated movements involving the whole body (n = 19) or with generalized trembling (n = 11) were the most common features. Neuropsychological testing, carried out in 22 cases, failed to show major abnormalities in most of the cases. Significant personal and family distress was found in most of the cases. An important impact on patient's quality of life was evident when the seizures were present as compared to the seizure-free periods. There were no statistically significant predictors of clinical outcome.
M E Lancman; J J Asconapé; S Graves; P A Gibson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of child neurology     Volume:  9     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1995-02-10     Completed Date:  1995-02-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  404-7     Citation Subset:  IM    
Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157.
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MeSH Terms
Cerebral Cortex / physiopathology
Child, Preschool
Conversion Disorder / diagnosis*,  physiopathology,  psychology
Diagnosis, Differential
Diagnostic Imaging
Dominance, Cerebral / physiology
Follow-Up Studies
Neuropsychological Tests
Personality Assessment
Psychophysiologic Disorders / diagnosis*,  physiopathology,  psychology
Seizures / diagnosis*,  physiopathology,  psychology
Stress, Psychological / complications
Video Recording

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