Audio-induced psychogenic non-epileptic seizures.
Scott Med J
; 57(1): 60, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22408222
ABSTRACT
A 45-year-old woman presented with vague attacks, which consisted of headaches, confusion and sleepiness. An electroencephalograph was normal, but subsequent scans revealed the presence of a right-sided convexity meningioma. This was excised and complications led to the removal of an infected bone flap in a separate procedure the following year. Various types of 'seizures' resulted from the operation. These were described to involve both tonic-clonic and absence seizures. This continued for 18 years, unaffected by medication, until a specialist diagnosed pseudo-epilepsy, by fortune of a hospital fire alarm. The patient began a psychological intervention programme including cognitive-behavioural therapy, which has significantly reduced episodes. In conclusion, psychogenic non-epileptic seizures may develop after intracranial neurosurgery undertaken for indications other than the control of refractory epileptic seizures. A diagnosis of psychogenic non-epileptic seizures should be considered in patients who develop refractory seizures after neurosurgery and managed appropriately.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Convulsões
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Neoplasias Encefálicas
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Terapia Cognitivo-Comportamental
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Procedimentos Neurocirúrgicos
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Ruído
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article