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Management of psychogenic nonepileptic seizures
Open accessAbstract
The International League Against Epilepsy (ILAE) Neuropsychobiology Commission gave the charge to provide practical guidance for health professionals for the pharmacologic and nonpharmacologic treatment of patients with psychogenic nonepileptic seizures (PNES). Using a consensus review of the literature, an international group of clinician-researchers in epilepsy, neurology, neuropsychology, and neuropsychiatry evaluated key management approaches for PNES. These included the following: presentation of the diagnosis, early phase treatment, psychological and pharmacologic interventions, and maintenance management. The aim of this report is to provide greater clarity about the range and current evidence base for treatment for patients with PNES, with the intention of improving the care of patients with PNES and patients who develop PNES as a comorbidity of epilepsy.
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“The gold standard for PPS is documenting an attack with a home video recorder or with a tilt testing during which BP, HR, and EEG are normal.”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [404]
In the citing paper
“The gold standard for PNES is documenting an attack with video-EEG monitoring.”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [404]
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Metadata
- Authors
- LaFrance, W. C., Reuber, M., & Goldstein, L. H.
- Affiliations
- Neuropsychiatry and Behavioral Neurology Division Rhode Island Hospital Brown University, Alpert Medical School Providence Rhode Island U.S.A
- Royal Hallamshire Hospital (GB)
- King's College London (GB)
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2013-03
- Volume
- 54
- Issue
- s1
- Pages
- 53-67
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W2170302766
- Cited by
- 316
- References
- 140
- Citations by year
- 2026: 12 · 2025: 12 · 2024: 15 · 2023: 13 · 2022: 13 · 2021: 19 · 2020: 30 · 2019: 18 · 2018: 67 · 2017: 26 · 2016: 34 · 2015: 30 · 2014: 23 · 2013: 4
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epilepsia (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- psychogenic non-epileptic seizures, pharmacotherapy, non-pharmacological treatment, psychological intervention, maintenance management, epilepsy comorbidity, treatment guidelines
- MeSH terms
- Antidepressive Agents, Communication, Electroencephalography, Humans, Physician-Patient Relations, Psychotherapy, Seizures, Somatoform Disorders, Cognitive Behavioral Therapy, Practice Guidelines as Topic
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