The approach to patients with psychogenic nonepileptic seizures in epilepsy surgery centers regarding diagnosis, treatment, and education

Autor(es):Mostrar menos -

Valente, Kette D. ; De Paola, Luciano ; Palmini, Andre ; Faveret, Eduardo ; de Araujo-Filho, Gerardo Maria ; van der Linden, Helio ; Bianchin, Marino M. ; Walz, Roger ; Alessi, Ruda ; Velasco, Tonicarlo ; Teixeira, Wagner A. ; LaFrance, Jr., W. Curt

• Tipo de documento: Artigo Científico
• Fonte: Epilepsy & Behavior; v. 68, p. 78-83, MAR 2017.
• Citações Web of Science: 6

Resumo

Previous studies, using surveys, provided an understanding about how health-care providers address patients with PNES. To date, there is limited information on the management of patients with PNES by tertiary referral centers for epilepsy. In this study, we surveyed 11 Brazilian epilepsy center directors about diagnosis, treatment, education and research on PNES. Respondents reported that patients with PNES represented 10-20% of all adult patients recorded by video-EEG (VEEG). All respondents recognized VEEG as the method to confirm the diagnosis, and 81.8% used this approach for confirmation. Most centers had a standard protocol for diagnosis. None of the centers had a particular protocol to treat PNES, but 90.9% had a uniform treatment approach including therapy and educational measures. Psychotherapy was not easily obtained in nine centers (81.8%). Seven (63.3%) centers reported ongoing research projects with PNES. Five centers referred to an educational PNES program discussing diagnosis, but only one reported an educational program for treatment. This study showed a commitment to PNES diagnosis; however, some gaps remain regarding treatment and training, namely implementing a psychotherapy approach for patients and providing educational curricula for clinicians. (C) 2016 Elsevier Inc. All rights reserved. (AU)

• Processo FAPESP: 07/52110-3 - Epilepsia mioclônica juvenil: avaliação das funções atencionais e executivas, traços de personalidade e adequação social
• Beneficiário: Sylvie Carolina Paes Moschetta
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 05/56464-9 - Centro de Imagem em Neurociências da Faculdade de Medicina da Universidade de São Paulo
• Beneficiário: Giovanni Guido Cerri
• Modalidade de apoio: Auxílio à Pesquisa - Programa CINAPCE - Temático
• Processo FAPESP: 13/11361-4 - Estudo de associação entre polimorfismos de genes da via serotoninérgica e epilepsia do lobo temporal causada por esclerose hipocampal
• Beneficiário: Kette Dualibi Ramos Valente
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 06/56971-0 - Transtorno de personalidade na epilepsia mioclonica juvenil investigando possiveis bases neurobiologicas.
• Beneficiário: Kette Dualibi Ramos Valente
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 12/09025-3 - Funções executivas e de memória em pacientes com esclerose mesial temporal: associação entre a avaliação neuropsicológica e novas técnicas de neuroimagem
• Beneficiário: Geraldo Busatto Filho
• Modalidade de apoio: Auxílio à Pesquisa - Regular