Background: Psychogenic non-epileptic seizures (PNES) are classified with other functional neurological symptoms as 'Conversion Disorder', but there are reasons to wonder whether this symptomatology constitutes a distinct entity. Methods: We reviewed the literature comparing PNES with other functional neurological symptoms. Results: We find eight studies that directly examined this question. Though all but one found significant differences - notably in presenting age, trauma history, and dissociation - they were divided on whether these differences represented an important distinction. Conclusion: We argue that the aetiological and mechanistic distinctions they support, particularly when bolstered by additional data, give reason to sustain a separation between these conditions.
Kanaan, R., Duncan, R., Goldstein, L., Jankovic, J., Cavanna, A. (2017). Are psychogenic non-epileptic seizures just another symptom of conversion disorder?. JOURNAL OF NEUROLOGY, NEUROSURGERY AND PSYCHIATRY, 88(5), 425-429 [10.1136/jnnp-2017-315639].
Are psychogenic non-epileptic seizures just another symptom of conversion disorder?
Cavanna A
2017
Abstract
Background: Psychogenic non-epileptic seizures (PNES) are classified with other functional neurological symptoms as 'Conversion Disorder', but there are reasons to wonder whether this symptomatology constitutes a distinct entity. Methods: We reviewed the literature comparing PNES with other functional neurological symptoms. Results: We find eight studies that directly examined this question. Though all but one found significant differences - notably in presenting age, trauma history, and dissociation - they were divided on whether these differences represented an important distinction. Conclusion: We argue that the aetiological and mechanistic distinctions they support, particularly when bolstered by additional data, give reason to sustain a separation between these conditions.File | Dimensione | Formato | |
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