Les crises non épileptiques psychogènes.

Epilepsy monitoring unit; Functional neurological disorders; Psychogenic non-epileptic seizures; Refractory epilepsy; Semiology; Humans; Female; Male; Prognosis; Communication; Electroencephalography; Diagnosis, Differential; Seizures/diagnosis; Seizures/etiology; Seizures/therapy; Epilepsy/diagnosis; Epilepsy/therapy; Epilepsy; Seizures; Medicine (all)

Abstract :

[en] Psychogenic non-epileptic seizures resemble epileptic seizures but their pathophysiological mechanisms differ. Despite being quite frequent, they are often misunderstood, regularly leading to a misdiagnosis and therapeutic errors. The objective of this article is to provide a short review of the current knowledge about this pathology. We will detail the main epidemiological data of psychogenic non-epileptic seizures. We will then discuss the diagnostic approach, emphasizing the semiological differences that exist between psychogenic non-epileptic seizures and epileptic seizures. Then, we will detail the main therapeutic actions and discuss the importance of communication between clinicians, the patient and his/her family. Finally, we will discuss the long-term prognosis of this pathology, which remains quite poor.
[fr] Les crises non épileptiques psychogènes ressemblent à des crises d’épilepsie, mais leurs mécanismes physiopathologiques diffèrent. Elles sont fréquentes, mais souvent méconnues, menant régulièrement à des erreurs diagnostiques et thérapeutiques. L’objectif de cet article est de dresser une synthèse des connaissances actuelles de cette pathologie. Nous y détaillerons les principales données épidémiologiques des crises non épileptiques psychogènes. Nous aborderons ensuite la démarche diagnostique en insistant sur les différences sémiologiques qui existent entre les crises non épileptiques psychogènes et les crises épileptiques. Nous présenterons ensuite les principales actions thérapeutiques existantes et parlerons de l’importance de la communication entre les cliniciens, le patient et son entourage. Enfin, nous discuterons du pronostic à long terme de cette pathologie, qui reste assez péjoratif.

Disciplines :

Neurology

Author, co-author :

VERSTRAETE, Adrien ; Centre Hospitalier Universitaire de Liège - CHU > > Service de neurologie

Bodart, Olivier ; Centre Hospitalier Universitaire de Liège - CHU > > Service de neurologie

Language :

French

Title :

Les crises non épileptiques psychogènes.

Alternative titles :

[en] Non-epileptic psychogenic seizures.

Publication date :

May 2023

Journal title :

Revue Médicale de Liège

ISSN :

0370-629X

eISSN :

2566-1566

Publisher :

Revue Medicale de Liege, Belgium

Volume :

Issue :

5-6

Pages :

273 - 280

Peer reviewed :

Editorial Reviewed verified by ORBi

Available on ORBi :

since 21 December 2023

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