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Clinical semiology of psychogenic nonepileptic seizures

David Gigineishvili

Sarajishvili Institute of Neurology & Neurosurgery, Tbilisi, Georgia.
E-mail:davidgig@mail.ru

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2005 volume 5, Issue 4
pg : 277-80

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Despite the increasing interest to psychogenic nonepileptic seizures (PNES) showed over the past decade, less attention has been paid to semiological classification of events and its correlation to psychiatric disturbances underlying PNES. We have reviewed all 17 cases diagnosed with only PNES during 2000-2001 years in the Institute, in which conversion disorder contributes to 76,4% and somatization and posttraumatic stress disorders respectively each to 11,8%. Based on clinical semiology of events we have classified them on four groups: fainting-like, demonstrative, disruptive and grand mal-like. All patients but one experienced only one type of psychogenic seizures. The observations should be reassessed in a large sample size.

Keywords:  psychogenic nonepileptic seizures, semiologic classification, psychiatric diagnoses

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