Research progress of precise differential diagnosis of psychogenic non-epilepsy seizures and epilepsy
10.3760/cma.j.cn113694-20211112-00799
- VernacularTitle:心因性非痫性发作与癫痫的精准鉴别诊断研究进展
- Author:
Yilin XIA
1
;
Xingyue LIAO
;
Yunlong LI
;
Ke YANG
;
Lei CHEN
Author Information
1. 四川大学华西医院神经内科，成都 610041
- Keywords:
Epilepsy;
Diagnosis, differential;
Psychogenic non-epilepsy seizures;
Machine learning
- From:
Chinese Journal of Neurology
2022;55(8):893-902
- CountryChina
- Language:Chinese
-
Abstract:
Psychogenic non-epilepsy seizures (PNES) are defined as paroxysms with clinical symptoms similar to epilepsy without epileptiform discharges. It is often misdiagnosed as epilepsy. Misdiagnosis not only delays the time for patients with PNES to get correct diagnoses and treatments, but also may increase the risk of adverse effects from improper use of antiseizure medications. The diagnostic method of PNES is video electroencephalogram monitoring, but there is no consensus on the optimal duration of monitoring. At the same time, the use of diverse physiological signals, brain imaging, laboratory examination, and the application of machine learning provide new perceptions for the precise identification of PNES and epilepsy. This article reviewed the progress of precise differential diagnosis between PNES and epilepsy.
