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Management of psychogenic non-epileptic seizures: a multidisciplinary approach.
Gasparini, S; Beghi, E; Ferlazzo, E; Beghi, M; Belcastro, V; Biermann, K P; Bottini, G; Capovilla, G; Cervellione, R A; Cianci, V; Coppola, G; Cornaggia, C M; De Fazio, P; De Masi, S; De Sarro, G; Elia, M; Erba, G; Fusco, L; Gambardella, A; Gentile, V; Giallonardo, A T; Guerrini, R; Ingravallo, F; Iudice, A; Labate, A; Lucenteforte, E; Magaudda, A; Mumoli, L; Papagno, C; Pesce, G B; Pucci, E; Ricci, P; Romeo, A; Quintas, R; Sueri, C; Vitaliti, G; Zoia, R; Aguglia, U.
Afiliação
  • Gasparini S; Department of Medical and Surgical Sciences, Magna Greacia University of Catanzaro, Catanzaro, Italy.
  • Beghi E; Regional Epilepsy Centre, Great Metropolitan Hospital of Reggio Calabria, Reggio Calabria, Italy.
  • Ferlazzo E; Department of Neurosciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
  • Beghi M; Department of Medical and Surgical Sciences, Magna Greacia University of Catanzaro, Catanzaro, Italy.
  • Belcastro V; Regional Epilepsy Centre, Great Metropolitan Hospital of Reggio Calabria, Reggio Calabria, Italy.
  • Biermann KP; Institute of Molecular Bioimaging and Physiology, National Research Council, Catanzaro, Italy.
  • Bottini G; Department of Mental Health, AUSL Romagna, Ravenna, Italy.
  • Capovilla G; Neurology Unit, Department of Medicine, S. Anna Hospital, Como, Italy.
  • Cervellione RA; Clinical Trial Office, Meyer Children's Hospital, Florence, Italy.
  • Cianci V; Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.
  • Coppola G; Child Neuropsychiatry Unit, Azienda Ospedaliera Carlo Poma, Mantova, Italy.
  • Cornaggia CM; Italian Federation against Epilepsies, Milan, Italy.
  • De Fazio P; Regional Epilepsy Centre, Great Metropolitan Hospital of Reggio Calabria, Reggio Calabria, Italy.
  • De Masi S; Child Neuropsychiatry Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
  • De Sarro G; School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.
  • Elia M; Psychiatric Unit, Department of Health Sciences, University 'Magna Graecia', Catanzaro, Italy.
  • Erba G; Clinical Trial Office, Meyer Children's Hospital, Florence, Italy.
  • Fusco L; Pharmacology Unit, Department of Health Sciences, Magna Graecia University, Catanzaro, Italy.
  • Gambardella A; Unit of Neurology and Clinical Neurophysiopathology, Oasi Research Institute - IRCCS, Troina (EN), Italy.
  • Gentile V; Department of Neurology, SEC, University of Rochester, Rochester, NY, USA.
  • Giallonardo AT; Neurophysiology Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy.
  • Guerrini R; Department of Medical and Surgical Sciences, Magna Greacia University of Catanzaro, Catanzaro, Italy.
  • Ingravallo F; Institute of Molecular Bioimaging and Physiology, National Research Council, Catanzaro, Italy.
  • Iudice A; Italian Association Against Epilepsies, Bologna, Italy.
  • Labate A; Neurology Unit, Department of Neuroscience, 'Sapienza' University, Rome, Italy.
  • Lucenteforte E; Italian Society of Neurology and Psychiatry of Infancy and Adolescence, Florence, Italy.
  • Magaudda A; Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Florence, Florence, Italy.
  • Mumoli L; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
  • Papagno C; Division of Neurology, University of Pisa, Pisa, Italy.
  • Pesce GB; Department of Medical and Surgical Sciences, Magna Greacia University of Catanzaro, Catanzaro, Italy.
  • Pucci E; Institute of Molecular Bioimaging and Physiology, National Research Council, Catanzaro, Italy.
  • Ricci P; Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Florence, Florence, Italy.
  • Romeo A; Epilepsy Centre, University of Messina, Messina, Italy.
  • Quintas R; Department of Medical and Surgical Sciences, Magna Greacia University of Catanzaro, Catanzaro, Italy.
  • Sueri C; CIMeC and CeRiN, University of Trento, Trento, Italy.
  • Vitaliti G; Department of Psychology, University of Milano-Bicocca, Milan, Italy.
  • Zoia R; Italian Association Against Epilepsies, Bologna, Italy.
  • Aguglia U; Neurology Unit, ASUR Marche AV3, Macerata, Italy.
Eur J Neurol ; 26(2): 205-e15, 2019 02.
Article em En | MEDLINE | ID: mdl-30300463
The International League against Epilepsy (ILAE) proposed a diagnostic scheme for psychogenic non-epileptic seizure (PNES). The debate on ethical aspects of the diagnostic procedures is ongoing, the treatment is not standardized and management might differ according to age group. The objective was to reach an expert and stakeholder consensus on PNES management. A board comprising adult and child neurologists, neuropsychologists, psychiatrists, pharmacologists, experts in forensic medicine and bioethics as well as patients' representatives was formed. The board chose five main topics regarding PNES: diagnosis; ethical issues; psychiatric comorbidities; psychological treatment; and pharmacological treatment. After a systematic review of the literature, the board met in a consensus conference in Catanzaro (Italy). Further consultations using a model of Delphi panel were held. The global level of evidence for all topics was low. Even though most questions were formulated separately for children/adolescents and adults, no major age-related differences emerged. The board established that the approach to PNES diagnosis should comply with ILAE recommendations. Seizure induction was considered ethical, preferring the least invasive techniques. The board recommended looking carefully for mood disturbances, personality disorders and psychic trauma in persons with PNES and considering cognitive-behavioural therapy as a first-line psychological approach and pharmacological treatment to manage comorbid conditions, namely anxiety and depression. Psychogenic non-epileptic seizure management should be multidisciplinary. High-quality long-term studies are needed to standardize PNES management.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos Psicofisiológicos / Convulsões Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies Limite: Adult / Child / Female / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos Psicofisiológicos / Convulsões Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies Limite: Adult / Child / Female / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article