Psychogenic non-epileptic seizure-an entity on the borderzones of neurology, psychiatry and clinical psychology: a case report with review of literature

Nitin K Sethi, Lehar Sethi, Riddhi Rawat, Deepta Batra
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Abstract

Psychogenic Non-Epileptic Seizures (PNES) are a commonly encountered neurological entity, often misdiagnosed due to their resemblance to epileptic seizures. PNES episodes mimic epileptic seizures but stem from psychological factors, making accurate diagnosis essential for effective treatment. They are now included under the umbrella of Functional Neurological Disorders (FND). We report a case of PNES and review the medical literature with respect to the incidence and prevalence of this entity in the Indian population. Our case report highlights the complexities of PNES diagnosis- a disorder on the "border zone" between neurology, psychiatry, and psychology. A multidisciplinary approach involving neurologists, psychiatrists, and psychologists is crucial for effective PNES management in India, overcoming the stigma associated with this condition and improving patient outcomes.
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精神性非癫痫发作--神经病学、精神病学和临床心理学交界地带的一个实体:病例报告及文献综述
精神性非癫痫发作(PNES)是一种常见的神经系统疾病,由于与癫痫发作相似而经常被误诊。PNES 发作与癫痫发作相似,但却源于心理因素,因此准确诊断对有效治疗至关重要。目前,它们已被归入功能性神经障碍(FND)的范畴。我们报告了一例 PNES 病例,并回顾了有关该病症在印度人群中的发病率和流行率的医学文献。我们的病例报告凸显了 PNES 诊断的复杂性--这是一种处于神经学、精神病学和心理学 "交界地带 "的疾病。在印度,神经科医生、精神科医生和心理学家共同参与的多学科方法对于有效管理 PNES、克服与这种疾病相关的耻辱感和改善患者预后至关重要。
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