A case report on psychogenic non-epileptic disorder

M. Jagadheeshwari, S. Keshavini, K. Dhivya
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Abstract

Psychogenic non-epileptic seizure (PNES) involves attacks that act as epilepsy-related seizures. PNES is more likely to affect women than men and utmost generally begins in the youth. Epileptic seizures generally last between 30 and 120 s depending on the type, while PNES occurrences generally last for two to five twinkles. Features that are common in PNES but rarer in epilepsy include smelling the tip of the lingo, seizures lasting further than two twinkles (easiest factor to distinguish), seizures having a gradational onset, a shifting course of complaint inflexibility, the eyes being closed during a seizure, and side to side head movements. Psychotherapy is the most constantly used treatment, which might include cognitive behavioral remedy or remedy to retrain the physical symptoms and allow the existent to recapture control of the attacks. There is also some substantiation supporting picky serotonin reuptake asset antidepressants. Here, we present the case of a 45-year-old female presented with the chief complaints of giddiness in the right ear for 1 week, vomiting for 2 days, and two episodes of bilateral upper and lower body jerks. Later on, she was diagnosed with PNES.
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关于精神性非癫痫性障碍的病例报告
精神性非癫痫发作(PNES)是指与癫痫相关的发作。女性比男性更容易受到精神性非癫痫发作的影响,而且这种疾病一般在青年时期开始发病。根据类型不同,癫痫发作一般持续 30 到 120 秒,而非癫痫性发作一般持续 2 到 5 秒。PNES 中常见但癫痫中较少见的特征包括闻到行话的尖音、发作持续时间超过两个眨眼(最容易区分的因素)、发作有渐进的起始时间、主诉不灵活的转变过程、发作时双眼紧闭以及头部左右移动。心理治疗是最常用的治疗方法,其中可能包括认知行为疗法或重新训练躯体症状的疗法,让患者重新获得对发作的控制。也有一些证据支持挑剔的血清素再摄取资产抗抑郁药。在此,我们介绍了一例 45 岁女性的病例,主诉为右耳眩晕 1 周,呕吐 2 天,双侧上半身和下半身抽搐 2 次。后来,她被诊断为 PNES。
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