Minimum requirements for the diagnosis of psychogenic nonepileptic seizures: A staged approach A report from the International League Against Epilepsy Nonepileptic Seizures Task Force
Minimum requirements for the diagnosis of psychogenic nonepileptic seizures: A staged approach A report from the International League Against Epilepsy Nonepileptic Seizures Task Force
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DOI：
10.1111/epi.12356
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发表时间：
2013-11-01
期刊：
影响因子：
5.6
通讯作者：
Reuber, Markus
中科院分区：
文献类型：
--
作者：
LaFrance, W. Curt, Jr.;Baker, Gus A.;Reuber, Markus
由癫痫、神经病学、神经心理学和神经精神病学领域的临床医生-研究人员组成的国际共识小组合作，旨在制定心因性非癫痫发作 (PNES) 诊断标准的明确指南。由于视频脑电图 (vEEG) 的黄金标准并非在全球范围内可用，也不适用于每位患者，因此该小组制定了分阶段的 PNES 诊断方法。通过对文献的共识回顾，该小组评估了关键的诊断方法。这些包括：病史、脑电图、动态脑电图、vEEG/监测、神经生理学、神经体液、神经影像、神经心理学测试、催眠和对话分析。根据病史、目击事件和调查（包括 vEEG）的可用性，制定了诊断确定性级别，包括可能的、可能的、临床确定的和记录的诊断。本报告的目的和希望是更清晰地介绍 PNES 的诊断过程和确定性，旨在改善对癫痫和非癫痫发作患者的护理。
An international consensus group of clinician-researchers in epilepsy, neurology, neuropsychology, and neuropsychiatry collaborated with the aim of developing clear guidance on standards for the diagnosis of psychogenic nonepileptic seizures (PNES). Because the gold standard of video electroencephalography (vEEG) is not available worldwide, or for every patient, the group delineated a staged approach to PNES diagnosis. Using a consensus review of the literature, this group evaluated key diagnostic approaches. These included: history, EEG, ambulatory EEG, vEEG/monitoring, neurophysiologic, neurohumoral, neuroimaging, neuropsychological testing, hypnosis, and conversation analysis. Levels of diagnostic certainty were developed including possible, probable, clinically established, and documented diagnosis, based on the availability of history, witnessed event, and investigations, including vEEG. The aim and hope of this report is to provide greater clarity about the process and certainty of the diagnosis of PNES, with the intent to improve the care for people with epilepsy and nonepileptic seizures.