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Psychiatric Classification of Nonconversion Nonepileptic Seizures
Arch Neurol 52:199-201, Alper,K.,et al, 1995
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Article Abstract
Twenty-one patients evaluated for possible epileptic seizures had a psychiatric disorder other than conversion that accounted for their events.Among these patients,Diagnostic and Statistical Manual of Mental Disorders,Revised Third Edition(DSM-III-R)anxiety disorders(n=9)were the most common diagnosed category,followed by all forms of psychotic disorders(n=7)and impulse control problems in the setting of attention deficit disorder residual type(n=2).In contrast to 71 patients with conversion group showed no female predominance and the nonconversion patients were significantly less likely than the conversion patients to have been physically or sexually abused in childhood or adolescence.These results support the validity of the nosologic distinction of nonconversion from conversion NES and suggest that DSM-III-R anxiety disorders are an important diagnostic confound in clinical epilepsy.
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anxiety
behavioral disorder
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pseudostatus epilepticus
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psychosis
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seizure,differential diagnosis of
seizure,hysterical
seizure,nonepileptic
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