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We compared outcome of psychogenic seizures documented by video-EEG in 18 nonepileptic children and adolescents(ages 8 to 18;median,14.5 years old) and 20 adults(ages 25 to 56;median,34.0 years old).Outcome was significantly better for the younger patients at 1 year,2 years,and 3 years after diagnosis.At these follow-up times,the percentages of children and adolescents free of psychogenic attacks were 73%,75%,and 81%at the same follow-up times,the percentages of adults free of psychogenic attacks were only 25%,25%,and40%.Factors leading to better outcome for younger patients may have been different psychological mechanisms at different ages of onset and greater effectiveness with earlier intervention. |
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