The Experts below are selected from a list of 687 Experts worldwide ranked by ideXlab platform

Sanjeev V Kothare - One of the best experts on this subject based on the ideXlab platform.

David L. Perez - One of the best experts on this subject based on the ideXlab platform.

  • a clinically oriented perspective on Psychogenic Nonepileptic Seizure related emergencies
    Clinical Eeg and Neuroscience, 2015
    Co-Authors: Barbara A Dworetzky, David L. Perez, Daniel Weisholtz, Gaston Baslet
    Abstract:

    Psychogenic Nonepileptic Seizures (PNES) can present emergently and are often mistaken for epileptic Seizures. PNES emergencies have not been well studied, and yet there are associated serious morbidities, particularly when patients are seen in an emergency setting and are misdiagnosed. PNES may be prolonged, mimicking status epilepticus, a condition we refer to as Nonepileptic Psychogenic status (NEPS), and patients may receive aggressive and unnecessary medical treatments that can lead to serious iatrogenic complications, including death. NEPS is also associated with an increased risk of self-harm, including suicide attempts, and may indicate a serious comorbid psychiatric illness. In addition to iatrogenic complications of PNES, accidents and injuries are an underrecognized source of morbidity. PNES may also present during medical procedures, which may not only interfere with their completion, but may alarm practitioners who, fearing liability, may initiate further medical evaluations and treatments. When PNES occur during pregnancy, patients may be misdiagnosed with eclampsia and their offspring delivered prematurely. They also risk being placed on medications that are harmful to the fetus. Increased awareness of PNES is necessary to prevent iatrogenic harm and to identify underlying psychiatric illnesses that carry their own risks. As yet, data available to guide treatment are scant, and further study is needed.

  • teaching video neuroimages complex partial Seizure evolving into a Psychogenic Nonepileptic Seizure
    Neurology, 2010
    Co-Authors: David L. Perez, Amit Haldar, Alexander Rotenberg, Sanjeev V Kothare
    Abstract:

    An 11-year-old, right-handed girl was admitted for video-EEG monitoring of nocturnal paroxysms consisting of eye opening, groans, right arm shaking, and altered consciousness (see video on the Neurology ® Web site …

  • teaching video neuroimages complex partial Seizure evolving into a Psychogenic Nonepileptic Seizure
    Neurology, 2010
    Co-Authors: David L. Perez, Amit Haldar, Alexander Rotenberg, Sanjeev V Kothare
    Abstract:

    An 11-year-old, right-handed girl was admitted for video-EEG monitoring of nocturnal paroxysms consisting of eye opening, groans, right arm shaking, and altered consciousness (see video on the Neurology ® Web site …

George L Wolford - One of the best experts on this subject based on the ideXlab platform.

  • a comparative study of trauma and posttraumatic stress disorder prevalence in epilepsy patients and Psychogenic Nonepileptic Seizure patients
    Epilepsia, 2000
    Co-Authors: Harriet J Rosenberg, Stanley D Rosenberg, Peter D Williamson, George L Wolford
    Abstract:

    Summary: Purpose: This study tests the hypothesis that trauma histories, including histories of physical and sexual abuse, and posttraumatic stress disorder (PTSD) are more prevalent in Psychogenic non–epileptic Seizure (NES) patients than in epilepsy patients. Methods: Thirty-five inpatients with intractable Seizures were evaluated for trauma history and PTSD. After these assessments, patients were diagnosed as having either epileptic or Nonepileptic Seizures through EEG monitoring. Results: NES diagnosis correlated with PTSD and total number of lifetime traumas, adult traumas, and abuse traumas. Contrary to previous hypotheses, reported childhood sexual abuse (CSA) did not correlate significantly with NES diagnosis. However, CSA predicted PTSD in a discriminant analysis. Conclusions: We found evidence for the hypothesized relations between trauma, abuse, PTSD, and NES diagnosis. However, elevated levels in both Seizure-disorder groups suggest that routine assessment for abuse, trauma, and PTSD might facilitate medical care and treatment for all intractable Seizure patients.

  • clinical research a comparative study of trauma and posttraumatic stress disorder prevalence in epilepsy patients and Psychogenic Nonepileptic Seizure patients
    2000
    Co-Authors: Harriet J Rosenberg, Stanley D Rosenberg, Peter D Williamson, George L Wolford
    Abstract:

    Summary: Purpose: This study tests the hypothesis that trauma histories, including histories of physical and sexual abuse, and posttraumatic stress disorder (PTSD) are more prevalent in Psychogenic non-epileptic Seizure (NES) patients than in epilepsy patients. Methods: Thirty-five inpatients with intractable Seizures were evaluated for trauma history and PTSD. After these as- sessments, patients were diagnosed as having either epileptic or Nonepileptic Seizures through EEG monitoring. Results: NES diagnosis correlated with PTSD and total num- ber of lifetime traumas, adult traumas, and abuse traumas. Con- trary to previous hypotheses, reported childhood sexual abuse (CSA) did not correlate significantly with NES diagnosis. However, CSA predicted PTSD in a discriminant analysis. Conclusions: We found evidence for the hypothesized rela- tions between trauma, abuse, PTSD, and NES diagnosis. How- ever, elevated levels in both Seizure-disorder groups suggest that routine assessment for abuse, trauma, and PTSD might facilitate medical care and treatment for all intractable Seizure patients.

Alexander Rotenberg - One of the best experts on this subject based on the ideXlab platform.

Amit Haldar - One of the best experts on this subject based on the ideXlab platform.