Authors: P. Bob; R. Ptáček; I. Paclt Authors‘ workplace: Psychiatrická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Raboch, DrSc. Published in: Čes. a slov. Psychiat., , 2002, No. 7, pp. 377-381. Category:
Differential diagnostics of epileptic and non-epileptic seizures is a problem based on distinguishingepileptic seizures with an organic etiology and non-epileptic seizures with a predominantpsychopathological etiopathogenesis. There is a growing evidence which supports a dissociativemechanism of non-epileptic seizures and dissociative psychopathology provides important findingsconcerning etiology and diagnostics.In these study 21 epileptic patients, 8 men and 13 women, mean age 33 were investigated by 5scales focused on dissociation (psychic and somatoform), posttraumatic stress disorder (PTSD),depression and child traumas (DES, SDQ-20, IES, BDI-II and TSC-40).Possibilities of differential diagnostics between non-epileptic and epileptic seizures are reversethan it is common in neurological practice, where diagnosis of non-epileptic seizure is the resultof excluding epilepsy after EEG monitoring. In this case diagnosis is based on confirmation ofpsychogenic non-epileptic seizures by a positive finding of dissociative symptoms. This examinationmakes possible earlier therapy and is an important complement of common neurologicaldiagnostics.
Key words: epilepsy, psychogenic non-epileptic seizures, dissociative disorders, posttraumaticstress disorder.
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