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Fortschr Neurol Psychiatr 2015; 83(12): 702-711
DOI: 10.1055/s-0041-109190
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© Georg Thieme Verlag KG Stuttgart · New York

Differenzialdiagnose epileptischer und psychogener nicht-epileptischer Anfälle und sich hieraus ergebende Behandlungskonsequenzen

Differential Diagnosis of Epileptic and Psychogenic Non-Epileptic Seizures and Treatment Consequences
A. M. Staack
,
B. J. Steinhoff
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Publication History

Publication Date:
29 December 2015 (online)

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Zusammenfassung

Psychogene nicht-epileptische Anfälle (PNEA) sind eine der wichtigsten Differenzialdiagnosen epileptischer Anfälle und stellen eine besondere diagnostische Herausforderung dar. In diesem Beitrag werden klinische Kriterien zur besseren Unterscheidung von epileptischen und nicht-epileptischen psychogenen Anfällen aufgeführt. Ziel ist es, Kenntnisse zu vermitteln, die eine frühe Diagnosestellung und Einleitung der angemessenen Therapie erlauben, da sich dadurch die Prognose von psychogenen nicht-epileptischen Anfällen entscheidend verbessern kann.

Abstract

Psychogenic non-epileptic seizures (PNES) are one of the most important differential diagnoses of epileptic seizures and represent a challenging pathology for clinicians. The aim of this article is to impart clinical criteria for an accurate diagnosis of psychogenic non-epileptic seizures since an early and appropriate treatment may considerably improve the prognosis.

 

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