The problem of comorbidity of epilepsy and psychogenic paroxysms

Kutlubaev M.A.; Mendelevich V.D.; Dyukova G.M.; Belousova E.D.

doi:https://doi.org/10.17116/jnevro2020120051138

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Abstract:

A review of publications over the last two decades is presented. Psychogenic paroxysms develop in approximately 12% of patients with epilepsy. The analysis of social and demographic data, history details, semiological features and results of electrophysiological and neuroimaging studies does not unequivocally support the comorbidity of epilepsy and psychogenic paroxysms. The pathogenetic mechanisms of the development of comorbidity are various and depend on the presence of pharmacoresistance, psychological traumas in the past, intellectual disability etc. Video-EEG-monitoring is the gold standard in the diagnosis of comorbidity of epilepsy and psychogenic paroxysms. Treatment of such cases includes anticonvulsants and cognitive-behavioral therapy.

Keywords:

epilepsy

comorbidity

dissociative convulsions

psychogenic non-epileptic paroxysms

conversion disorder

Authors:

Kutlubaev M.A.

Bashkir State Medical University

SPIN RSCI: 4713-0312
Scopus AuthorID: 9241930700
ORCID: 0000-0003-1001-2024

Mendelevich V.D.

Kazan State Medical University

ORCID: 0000-0002-8476-6083

Dyukova G.M.

Loginov Moscow Clinical Research Practical Center

SPIN RSCI: 4819-8551
Scopus AuthorID: 6603748004
ORCID: 0000-0001-9805-1022

Belousova E.D.

Research Clinical Institute of Pediatric of Pirogov Russian National Research Medical University

SPIN RSCI: 6594-3049
Scopus AuthorID: 24767524000
ORCID: 0000-0003-3594-6974

Received:

28.03.2019

Accepted:

23.01.2020

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References:

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