Patients with epilepsy and psychogenic non-epileptic seizures: an inpatient video-EEG monitoring study |
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Authors: | Pillai Jagan A Haut Sheryl R |
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Institution: | Comprehensive Epilepsy Management Center, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 E 210th st Bronx, NY 10467, USA. jpillai@ucsd.edu |
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Abstract: | Seizure and EEG characteristics of patients with epilepsy and concomitant psychogenic non-epileptic seizures (PNES) were compared to age and sex matched controls with epilepsy alone in a retrospective case control study. 39 patients with clearly documented epileptic and non-epileptic events were compared to 78 age and sex matched controls, sequentially admitted for video-EEG monitoring with documentation of epilepsy alone. Frontal seizures were higher in prevalence in patients with PNES who had concomitant epilepsy (P<0.001), while temporal seizures were higher in prevalence in patients with epilepsy alone (P<0.04). On regression analysis, the odds of having a frontal seizure was found to be significantly lower in the epilepsy alone group compared to the epilepsy+PNES group (odds ratio 0.13, 95% CI, 0.033-0.51). This significant association between frontal lobe epilepsy and PNES may be related to misattribution of frontal seizures for PNES events, or may reflect frontal lobe cortical dysfunction in this subgroup. |
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