Epilepsie : s’agit-il d’une crise ?
Keywords:
crise, psychogène, non épileptique, vidéo-EEG
Abstract
Les crises psychogènes non épileptiques (CPNE) sont des manifestations paroxystiques (motrices, cognitives, émotionnelles..), qui évoquent en premier lieu des crises épileptiques, mais qui sont en rapport avec une origine psychogènes. Elles se voient surtout chez la femme et considérées comme une pathologie fréquente, sous-estimée et de diagnostique tardif car elles sont prises à tort pour une épilepsie. La CPNE est classée au niveau des troubles somatoformes dans la catégorie des troubles de conversion. L’enregistrement vidéo et électro-encéphalographique en monitoring reste l’examen de choix pour les différencier des crises d’épilepsie. La difficulté du diagnostic des CNEP nécessite une approche conjointe entre neurologues et psychiatres, et l’annonce du diagnostic est capitale et conditionne la prise en charge de cette pathologie complexe.
References
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21- Hingray. C. Crises psychogènes non épileptiques - comment poser, annoncer et communiquer le diagnostic ? Neurologies 2014;17:335-54.
22- Baker. GA, Brooks. JL, Goodfellow. L, et al. Treatments for non-epileptic attack disorder. Cochrane Database Syst Rev 2007;1:CD006370.
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2- Oto. M, Conway. P, McGonigal. A, Russell. AJ, Duncan. R. Gender differences in psychogenic non-epileptic seizures. Seizure 2005;14:33-9.
3- Fiszman. A, Alves-Leon. SV, Nunes. RG, D’Andrea. I, Figueira. I. Traumatic events and posttraumatic stress disorder in patients with psychogenic nonepileptic seizures: a critical review. Epilepsy Behav 2004;5:818-25.
4- Reuber. M, Elger. CE. Psychogenic non epileptic seizures: review and update. Epilepsy Behav 2003;4:205-16.
5- Lacey. C, Cook. M, Salzberg. M. The neurologist, psychogenic nonepileptic seizures, and borderline personality disorder. Epilepsy Behav 2007;11:492-8.
6- Josien. E. Crises non épileptiques. Paris: Masson; EMC 2005:9p [17-045-A-55].
7- Duncan. R, Razvi. S, Mulhern. S. Newly presenting psychogenic nonepileptic seizures: incidence, population characteristics, and early outcome from a prospective audit of a first seizure clinic. Epilepsy Behav 2011;20:308-11.
8- Ettinger. A, Kanner. A. Psychiatric issues in epilepsy: a prac- tical guide to diagnosis and treatment. Philadelphia PA, US: Lippincott W and Wilkins Publishers; 2001.
9- Al Marzooqi. SM, Baker. GA, Reilly. J, Salmon. P. The perceived health status of people with psychologically derived non-epileptic attack disorder and epilepsy: a comparative study. Seizure 2004;13:71-5.
10- Bowman. ES, Markand. ON. Psychodynamics and psychiatric diagnoses of pseudoseizure subjects. Am J Psychiatry 1996;153(1):57-63.
11- Reuber. M, Kral. T, Kurthen. M, et al. New-onset psychoge- nic seizures after intracranial neurosurgery. Acta Neurochir 2002;144(9):901-7.
12- De Wet. CJ. Pseudoseizures and asthma. J Neurol Neurosurg Psychiatry 2003;74:639-41.
13- Plug. L, Sharrack. B, Reuber. M. Conversation analysis can help to distinguish between epilepsy and non-epileptic seizure disorders: a case comparison. Seizure 2009;18(1):43-50.
14- Hubsch. C, Baumann. C, Hingray. C, Gospodaru. N, Vignal. J-P, Vespignani. H, et al. Clinical classification of psychogenic non-epileptic seizures based on video-EEG analysis and automatic clustering. J Neurol Neurosurg Psychiatry 2011; 82(9):955–60.
15- Westbrook. LE, Devinsky. O, Geocadin. R. Nonepileptic seizures after head injury. Epilepsia 1998;39:978-82.
16- Dixit. R, Popescu. A, Bagic´. A, Ghearing G, Hendrickson R. Medical comorbidities in patients with psychogenic nonepileptic spells (PNES) referred for video-EEG monitoring. Epilepsy Behav 2013;28:137-40.
17- Pareés. I, Kojovic. M, Pires. C, Rubio-Agusti. I, Saifee. TA, Sadnicka. A, et al. Physical precipitating factors in functional movement disorders. J Neurol Sci 2014;338:174-7.
18- Reuber. M, Howlett. S, Khan. A, Grünewald. RA. Non-epileptic seizures and other functional neurological symptoms: predisposing, precipitating, and perpetuating factors. Psychosomatics 2007;48:230-8.
19- Hingray. C, Maillard. L, Hubsch. C, Vignal. JP, Bourgognon F, Laprevote V, et al. Psychogenic non epileptic seizure: identifica-tion of two distinct patient profiles according to trauma antece-dent. Epilepsy Behav 2011;22:532-6.
20- Auxéméry. Y, Hubsch. C, Fidelle. G. Crises psychogènes non épileptiques. Revue de la littérature. L’Encéphale. 2011. 37, 153-158.
21- Hingray. C. Crises psychogènes non épileptiques - comment poser, annoncer et communiquer le diagnostic ? Neurologies 2014;17:335-54.
22- Baker. GA, Brooks. JL, Goodfellow. L, et al. Treatments for non-epileptic attack disorder. Cochrane Database Syst Rev 2007;1:CD006370.
23- La France. WC, Rusch. MD, Machan. JT. What is ‘‘treatment as usual’’ for non epileptic seizures? Epilepsy Behav 2008;12:388-94.
24- Reuber. M, Mitchell. AJ, Howlett. S, et al. Measuring outcome in psychogenic nonepileptic seizures: how relevant is seizure remission? Epilepsia 2005;46(11):1788-95.
